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Wisconsin rates for MS-DRG 496

Local excision & removal int fix devices exc hip & femur w CC

Facilitymedian $33,113 · 10th–90th $18,197–$46,7740%10%10th90th$33,113$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $32,359.37 / $33,113.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $34,673.69 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $28,183.83 / $50,118.72
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $26,915.35 / $34,673.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $31,622.78 / $52,480.75
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $20,892.96 / $26,915.35
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $37,153.52 / $38,018.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $33,884.42 / $42,657.95