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Wisconsin rates for MS-DRG 125

Other disorders of the eye w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $13,803.84 / $14,125.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $14,791.08 / $21,379.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $12,022.64 / $21,379.62
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $11,481.54 / $14,791.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $13,489.63 / $22,387.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $8,709.64 / $11,481.54
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $15,848.93 / $16,218.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $14,454.40 / $19,952.62