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Wisconsin rates for MS-DRG 189

Pulmonary Edema And Respiratory Failure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $21,877.62 / $22,908.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $23,442.29 / $33,884.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $19,498.45 / $34,673.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $18,620.87 / $23,442.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $21,877.62 / $35,481.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $14,125.38 / $18,197.01
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $25,118.86 / $26,302.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $23,442.29 / $31,622.78