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Wisconsin rates for MS-DRG 493

Lower extrem & humer proc except hip, foot, femur w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,018.94 / $45,708.82 / $46,773.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $48,977.88 / $69,183.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,512.09 / $39,810.72 / $70,794.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,113.11 / $38,018.94 / $48,977.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $44,668.36 / $74,131.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $28,840.32 / $38,018.94
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,686.94 / $52,480.75 / $53,703.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $47,863.01 / $66,069.34