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Wisconsin rates for MS-DRG 155

Stomach,Esoph & Duod Proc Age >17 W/O Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,782.30 / $13,782.30 / $16,334.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,173.43 / $16,552.72 / $24,761.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,272.24 / $13,951.79 / $23,737.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,085.08 / $16,181.54 / $26,486.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.66 / $9,445.23 / $13,515.63
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,476.33 / $15,986.67 / $18,788.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,357.37 / $17,052.12 / $21,495.59