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Wisconsin rates for MS-DRG 137

Mouth Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $26,915.35 / $27,542.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $28,840.32 / $40,738.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $23,442.29 / $41,686.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $22,387.21 / $28,840.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $26,302.68 / $43,651.58
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $16,982.44 / $22,387.21
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,547.09 / $30,902.95 / $31,622.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $28,183.83 / $38,904.51