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Wisconsin rates for MS-DRG 092

Complications of Treatment with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,383.90 / $15,383.90 / $18,232.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,536.65 / $18,770.75 / $28,079.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,582.11 / $15,573.03 / $26,495.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,257.00 / $18,061.88 / $29,564.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.71 / $10,710.87 / $15,303.25
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,809.91 / $17,844.37 / $20,971.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,560.94 / $19,033.63 / $23,993.44