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Wisconsin rates for MS-DRG 204

Respiratory Signs And Symptoms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,141.70 / $12,141.70 / $14,390.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,837.45 / $14,379.03 / $21,510.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,930.40 / $12,290.97 / $20,911.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,884.56 / $14,255.29 / $23,333.86
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $8,204.89 / $11,906.73
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,110.19 / $14,083.62 / $16,551.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,124.44 / $15,022.24 / $18,936.75