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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
$22,454.70 / $22,454.70 / $26,613.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,240.54 / $24,797.17 / $37,095.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,365.21 / $22,730.83 / $38,673.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,431.04 / $26,363.64 / $43,153.48
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.20 / $14,149.64 / $22,020.22
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,697.72 / $26,046.16 / $30,610.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,874.68 / $27,782.03 / $35,021.51