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Wisconsin rates for MS-DRG 475

Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,222.00 / $34,222.00 / $40,559.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,508.09 / $38,248.92 / $57,218.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,989.36 / $34,642.75 / $58,940.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,041.60 / $40,179.30 / $65,767.73
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.82 / $21,825.40 / $33,559.75
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,496.11 / $39,695.44 / $46,652.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,717.73 / $42,340.99 / $53,374.27