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Wisconsin rates for MS-DRG 178

Uncomplicated Peptic Ulcer W/O Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,677.10 / $14,677.10 / $17,395.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,810.91 / $17,589.93 / $26,313.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,004.05 / $14,857.55 / $25,278.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,739.82 / $17,232.06 / $28,206.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.03 / $10,037.08 / $14,393.07
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,221.38 / $17,024.54 / $20,008.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,029.80 / $18,159.16 / $22,891.10