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Wisconsin rates for MS-DRG 103

Heart Transpl Or Impl Heart Assist Sys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,576.30 / $12,576.30 / $14,905.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,264.62 / $15,074.04 / $22,549.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,285.85 / $12,730.91 / $21,660.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,202.57 / $14,765.55 / $24,169.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.29 / $8,601.46 / $12,332.92
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,472.07 / $14,587.73 / $17,144.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,199.29 / $15,848.72 / $20,864.00