go back

Wisconsin rates for MS-DRG 152

Otitis media and URI with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,777.90 / $17,777.90 / $21,070.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,365.91 / $20,120.00 / $30,098.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,540.15 / $17,996.50 / $30,618.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,008.82 / $20,872.68 / $34,165.58
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.91 / $11,480.77 / $17,433.90
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,803.40 / $20,621.33 / $24,235.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,360.07 / $21,995.66 / $27,727.32