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Wisconsin rates for MS-DRG 279

Ultrasound accelerated & oth thrombolysis of periph vascular w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,703.18 / $64,565.42 / $67,608.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,686.94 / $56,234.13 / $102,329.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $53,703.18 / $69,183.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,810.72 / $63,095.73 / $104,712.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $40,738.03 / $53,703.18
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,884.37 / $74,131.02 / $77,624.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,738.03 / $67,608.30 / $93,325.43