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Wisconsin rates for MS-DRG 142

Major head and neck procedures without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,006.70 / $24,006.70 / $28,452.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,134.43 / $27,878.65 / $41,704.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,634.49 / $24,301.84 / $41,346.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,566.64 / $28,185.72 / $46,135.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.06 / $15,907.97 / $23,542.11
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,989.98 / $27,846.29 / $32,726.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,040.95 / $29,702.14 / $37,441.97