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Wisconsin rates for MS-DRG 389

Full Term Neonate W Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,877.00 / $11,877.00 / $14,076.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,735.03 / $14,212.36 / $21,260.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,713.93 / $12,023.05 / $20,455.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,690.89 / $13,944.55 / $22,825.22
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.50 / $8,109.79 / $11,647.18
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,889.79 / $13,776.62 / $16,190.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,925.54 / $14,694.78 / $18,523.97