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Wisconsin rates for MS-DRG 089

Concussion With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,520.70 / $16,520.70 / $19,580.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,682.67 / $19,008.33 / $28,435.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,511.93 / $16,723.88 / $28,453.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,088.90 / $19,396.66 / $31,749.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.86 / $10,846.44 / $16,201.05
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,756.57 / $19,163.08 / $22,521.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,415.30 / $20,440.22 / $25,766.56