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Wisconsin rates for MS-DRG 301

Peripheral vascular disorders w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,822.80 / $10,822.80 / $12,827.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,773.91 / $12,648.58 / $18,921.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,851.76 / $10,955.92 / $18,640.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,919.51 / $12,706.88 / $20,799.33
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.36 / $7,217.47 / $10,613.42
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,012.02 / $12,553.86 / $14,753.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,133.34 / $13,390.52 / $16,879.84