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Wisconsin rates for MS-DRG 123

Neurological eye disorders

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,009.30 / $12,009.30 / $14,233.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,752.46 / $14,240.73 / $21,303.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,822.17 / $12,157.01 / $20,683.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,787.71 / $14,099.92 / $23,079.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.75 / $8,125.97 / $11,776.95
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $13,930.12 / $16,371.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,382.90 / $14,748.54 / $18,730.36