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Wisconsin rates for MS-DRG 139

Salivary gland procedures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,582.50 / $18,582.50 / $22,023.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,961.58 / $24,343.29 / $36,416.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,198.16 / $18,810.93 / $32,004.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,597.53 / $21,817.27 / $35,711.73
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.09 / $13,890.64 / $19,846.39
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,473.32 / $21,554.54 / $25,331.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,964.67 / $22,991.06 / $28,982.11