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Wisconsin rates for MS-DRG 264

Skn Grft/Debrid,Skn Ulcr,Cellulit W/O Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,235.90 / $50,235.90 / $59,539.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,086.10 / $61,968.12 / $92,700.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,086.81 / $50,853.62 / $86,521.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,759.66 / $58,980.97 / $96,543.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.26 / $35,359.93 / $50,520.83
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,830.69 / $58,270.69 / $68,482.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,752.19 / $62,154.20 / $78,350.42