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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
$30,173.70 / $30,173.70 / $35,761.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,545.20 / $33,428.14 / $50,006.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,678.41 / $30,544.75 / $51,968.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,079.35 / $35,426.36 / $57,987.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.23 / $19,074.59 / $29,589.86
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,125.21 / $34,999.74 / $41,133.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,675.50 / $37,332.33 / $47,060.45