go back

Wisconsin rates for MS-DRG 216

Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147,114.00 / $147,114.00 / $174,359.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105,168.03 / $171,114.00 / $255,976.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120,320.91 / $148,922.59 / $253,374.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107,649.05 / $172,723.16 / $282,722.92
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.07 / $97,640.18 / $144,266.95
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122,499.34 / $170,643.14 / $200,548.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110,555.62 / $182,015.84 / $229,445.79