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Wisconsin rates for MS-DRG 200

Hepatobil Diagnostic Proc For Non-Malig

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,531.30 / $16,531.30 / $19,592.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,068.42 / $19,635.97 / $29,374.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,520.54 / $16,734.53 / $28,471.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,096.60 / $19,409.02 / $31,769.77
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.53 / $11,204.58 / $16,211.38
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,765.34 / $19,175.29 / $22,535.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,423.21 / $20,453.25 / $25,782.98