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Wisconsin rates for MS-DRG 497

Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,170.40 / $18,170.40 / $21,535.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,630.31 / $23,804.29 / $35,609.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,861.16 / $18,393.83 / $31,294.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,296.02 / $21,333.50 / $34,919.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.22 / $13,583.08 / $19,406.96
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,130.22 / $21,076.59 / $24,770.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,683.53 / $22,314.88 / $28,339.47