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Wisconsin rates for MS-DRG 494

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,199.52 / $35,481.34 / $37,153.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $38,018.94 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $31,622.78 / $56,234.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $30,199.52 / $38,018.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $35,481.34 / $57,543.99
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $22,908.68 / $30,199.52
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,113.11 / $41,686.94 / $42,657.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $38,018.94 / $51,286.14