go back

Wisconsin rates for MS-DRG 336

Peritoneal Adhesiolysis With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,710.60 / $31,710.60 / $37,583.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,017.73 / $37,451.07 / $56,024.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,935.39 / $32,100.53 / $54,615.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,203.95 / $37,230.79 / $60,941.43
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.60 / $21,370.14 / $31,097.00
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,404.95 / $36,782.43 / $43,228.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,830.46 / $39,233.83 / $49,457.45