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Wisconsin rates for MS-DRG 489

Knee procedures without principal diagnosis of infection without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,794.40 / $16,794.40 / $19,904.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,494.84 / $21,956.83 / $32,846.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,735.78 / $17,000.93 / $28,925.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,289.17 / $19,718.00 / $32,275.52
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.52 / $12,528.89 / $17,900.77
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,984.47 / $19,480.54 / $22,894.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,620.98 / $20,778.84 / $26,193.43