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Wisconsin rates for MS-DRG 402

Lymphoma&Nonacu Leuk Oth O.R Proc Wo Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,460.30 / $60,460.30 / $71,657.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,751.88 / $88,451.00 / $112,947.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,241.22 / $71,468.41 / $116,192.45
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.13 / $39,579.73 / $59,290.31
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,344.34 / $70,130.31 / $82,420.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,435.75 / $75,263.75 / $99,525.00