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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
$38,137.90 / $38,137.90 / $45,200.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,163.69 / $42,569.73 / $63,681.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,192.08 / $38,606.80 / $65,684.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,907.02 / $44,776.87 / $73,293.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.88 / $24,290.92 / $37,399.87
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,756.82 / $44,237.65 / $51,990.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,660.52 / $47,185.92 / $59,481.69