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Wisconsin rates for MS-DRG 157

Dental and oral diseases with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,817.20 / $25,817.20 / $30,598.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,843.83 / $29,032.87 / $43,431.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,115.32 / $26,134.67 / $44,465.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,891.50 / $30,311.48 / $49,615.52
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.49 / $16,566.59 / $25,317.65
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,497.62 / $29,946.45 / $35,194.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,401.59 / $31,942.27 / $40,265.83