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Wisconsin rates for MS-DRG 090

Concussion Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,379.30 / $12,379.30 / $14,671.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,341.99 / $15,199.92 / $22,738.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,124.73 / $12,531.49 / $21,320.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,058.42 / $14,534.25 / $23,790.48
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.43 / $8,673.29 / $12,392.07
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,308.04 / $14,359.23 / $16,875.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,303.00 / $15,316.21 / $19,307.33