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Wisconsin rates for MS-DRG 391

Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,072.70 / $19,072.70 / $22,604.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,997.19 / $22,774.18 / $34,068.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,599.11 / $19,307.20 / $32,848.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,956.26 / $22,392.85 / $36,653.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.91 / $12,995.29 / $18,703.62
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,881.54 / $22,123.19 / $26,000.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,333.08 / $23,597.61 / $29,746.71