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Wisconsin rates for MS-DRG 201

Pneumothorax Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,753.70 / $10,753.70 / $12,745.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,378.35 / $12,004.98 / $17,958.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,795.18 / $10,885.90 / $18,521.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,868.90 / $12,625.66 / $20,666.39
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.54 / $6,850.22 / $10,545.58
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,954.42 / $12,473.62 / $14,659.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,081.36 / $13,304.94 / $16,771.96