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Wisconsin rates for MS-DRG 089

Concussion With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $19,498.45 / $20,417.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $20,892.96 / $30,199.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $17,378.01 / $30,902.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $16,595.87 / $20,892.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $19,498.45 / $31,622.78
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $12,589.25 / $16,218.10
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $22,387.21 / $23,442.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $20,892.96 / $28,183.83