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Wisconsin rates for MS-DRG 492

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,213.50 / $55,213.50 / $65,438.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,697.42 / $62,962.77 / $94,188.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,157.85 / $55,892.40 / $95,094.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,401.96 / $64,825.04 / $106,109.24
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.26 / $35,927.49 / $54,145.09
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,975.44 / $64,044.38 / $75,268.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,492.83 / $68,312.69 / $86,113.71