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Wisconsin rates for MS-DRG 399

Appendix Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,214.00 / $17,214.00 / $20,402.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,078.93 / $17,425.65 / $29,647.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,596.18 / $20,210.59 / $33,081.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.15 / $11,369.48 / $16,880.89
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,333.83 / $19,967.21 / $23,466.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,936.28 / $21,297.94 / $26,847.79