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Wisconsin rates for MS-DRG 328

Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,095.40 / $24,095.40 / $28,557.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,364.36 / $28,252.75 / $42,264.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,707.06 / $24,391.65 / $41,499.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,631.56 / $28,289.89 / $46,306.47
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.44 / $16,121.44 / $23,629.12
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,063.86 / $27,949.21 / $32,847.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,819.34 / $29,591.28 / $37,580.33