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Wisconsin rates for MS-DRG 113

Orbital Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,481.34 / $41,686.94 / $43,651.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $44,668.36 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $37,153.52 / $66,069.34
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,902.95 / $35,481.34 / $44,668.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $41,686.94 / $67,608.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $26,915.35 / $34,673.69
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,904.51 / $47,863.01 / $50,118.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $44,668.36 / $60,255.96