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Wisconsin rates for MS-DRG 397

Appendix Procedures With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,014.50 / $36,014.50 / $42,684.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,455.43 / $36,457.32 / $62,027.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,353.26 / $42,283.88 / $69,212.61
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.19 / $25,067.90 / $35,816.00
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,988.72 / $41,774.67 / $49,095.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,064.81 / $44,558.79 / $56,169.98