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Wisconsin rates for MS-DRG 124

Other Disorders Of The Eye With Mcc Or Thrombolytic Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $23,442.29 / $24,547.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $25,118.86 / $36,307.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $20,892.96 / $37,153.52
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $19,952.62 / $25,118.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $23,442.29 / $38,018.94
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $15,135.61 / $19,498.45
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $26,915.35 / $28,183.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $25,118.86 / $33,884.42