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Wisconsin rates for MS-DRG 409

Biliary tract procedures except only cholecystectomy with or without C.D.E. with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,742.20 / $32,742.20 / $38,806.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,845.56 / $37,170.94 / $55,605.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,779.11 / $33,144.82 / $56,392.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,958.81 / $38,441.97 / $62,923.97
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.07 / $21,210.29 / $32,108.64
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,263.95 / $37,979.04 / $44,634.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,605.71 / $40,510.19 / $51,066.39