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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
$23,988.33 / $28,840.32 / $29,512.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $30,902.95 / $44,668.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $25,118.86 / $44,668.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $23,988.33 / $30,902.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $28,183.83 / $46,773.51
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $18,197.01 / $23,988.33
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $33,113.11 / $33,884.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $30,199.52 / $41,686.94