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Wisconsin rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83,176.38 / $97,723.72 / $102,329.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,255.96 / $104,712.85 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $89,125.09 / $154,881.66
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72,443.60 / $83,176.38 / $104,712.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,255.96 / $89,125.09 / $158,489.32
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $63,095.73 / $83,176.38
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91,201.08 / $114,815.36 / $117,489.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,095.73 / $93,325.43 / $141,253.75