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Wisconsin rates for MS-DRG 166

Other resp system O.R. procedures w MCC

Facilitymedian $67,608 · 10th–90th $38,019–$97,7240%10%10th90th$67,608$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $66,069.34 / $69,183.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $70,794.58 / $102,329.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $58,884.37 / $104,712.85
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48,977.88 / $56,234.13 / $70,794.58
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $66,069.34 / $107,151.93
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $42,657.95 / $56,234.13
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61,659.50 / $77,624.71 / $79,432.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $70,794.58 / $87,096.36