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Wisconsin rates for MS-DRG 425

Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc

Facilitymedian $27,542 · 10th–90th $15,136–$38,9050%10%20%10th90th$27,542$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $26,915.35 / $27,542.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $28,840.32 / $41,686.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $23,442.29 / $41,686.94
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $22,387.21 / $28,840.32
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $26,302.68 / $43,651.58
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $17,378.01 / $22,387.21
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $30,902.95 / $31,622.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $28,183.83 / $35,481.34