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Wisconsin rates for MS-DRG 155

Other Ear, Nose, Mouth And Throat Diagnoses With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $16,218.10 / $16,982.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $17,378.01 / $25,118.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $14,454.40 / $25,703.96
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $13,803.84 / $17,378.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $16,218.10 / $26,302.68
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $10,471.29 / $13,489.63
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $19,054.61 / $19,498.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $17,378.01 / $23,442.29