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Wisconsin rates for MS-DRG 422

Hepatobiliary diagnostic procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,045.70 / $21,045.70 / $24,943.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,012.05 / $26,052.46 / $38,972.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,212.77 / $21,304.45 / $36,247.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,399.97 / $24,709.29 / $40,445.55
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.54 / $14,865.92 / $21,239.82
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,524.41 / $24,411.73 / $28,689.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,815.78 / $26,038.68 / $32,823.87