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Wisconsin rates for MS-DRG 495

Local excision and removal of internal fixation devices except hip and femur with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,523.30 / $54,523.30 / $64,620.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,363.97 / $62,420.23 / $93,376.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,593.32 / $55,193.67 / $93,905.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,896.87 / $64,014.63 / $104,782.73
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.35 / $35,617.91 / $53,468.20
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,400.69 / $63,243.74 / $74,327.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,974.11 / $67,458.69 / $85,037.17