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Wisconsin rates for MS-DRG 258

Cardiac pacemaker device replacement w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,250.90 / $47,250.90 / $56,001.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,571.53 / $49,741.51 / $74,410.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,645.41 / $47,831.87 / $81,380.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,575.39 / $55,476.29 / $90,806.69
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.72 / $28,383.24 / $44,972.17
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,345.08 / $54,808.22 / $64,413.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,508.93 / $58,460.97 / $73,694.81