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Wisconsin rates for MS-DRG 516

Other musculoskelet sys & conn tiss O.R. proc w CC

Facilitymedian $38,019 · 10th–90th $20,893–$54,9540%10%10th90th$38,019$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
$30,902.95 / $37,153.52 / $38,904.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $39,810.72 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $32,359.37 / $58,884.37
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $30,902.95 / $39,810.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $36,307.81 / $60,255.96
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $23,988.33 / $30,902.95
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $42,657.95 / $44,668.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $38,904.51 / $48,977.88