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Wisconsin rates for MS-DRG 488

Knee procedures without principal diagnosis of infection with CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,600.70 / $26,600.70 / $31,527.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,416.96 / $34,846.54 / $52,128.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,756.11 / $26,927.79 / $45,814.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,464.82 / $31,231.34 / $51,121.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.05 / $19,883.95 / $28,409.39
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,150.01 / $30,855.24 / $36,262.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,990.37 / $32,911.62 / $41,487.78