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Wisconsin rates for MS-DRG 101

Seizures without MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,573.30 / $13,573.30 / $16,087.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,043.76 / $16,341.74 / $24,446.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,101.29 / $13,740.19 / $23,377.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,932.12 / $15,936.13 / $26,085.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.75 / $9,324.84 / $13,322.95
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,302.28 / $15,744.21 / $18,503.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,200.29 / $16,793.50 / $21,169.58