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Wisconsin rates for MS-DRG 577

Carotid Artery Stent Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,861.19 / $39,861.19 / $47,243.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,016.53 / $47,211.44 / $70,625.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,601.57 / $40,351.33 / $68,653.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,168.06 / $46,800.23 / $76,605.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.85 / $26,939.55 / $39,089.87
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,191.83 / $46,236.64 / $54,339.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,824.40 / $48,953.13 / $62,169.52