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Wisconsin rates for MS-DRG 121

Circ Disor W Ami & Maj Comp Disch Alive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,493.70 / $17,493.70 / $20,733.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,675.39 / $20,623.53 / $30,851.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,307.69 / $17,708.80 / $30,129.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,800.85 / $20,538.99 / $33,619.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.46 / $11,768.09 / $17,155.18
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,566.74 / $20,291.65 / $23,847.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,211.16 / $21,483.82 / $27,284.04