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Wisconsin rates for MS-DRG 583

Mastectomy For Malignancy Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,931.50 / $25,931.50 / $30,734.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,900.50 / $29,125.07 / $43,569.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,208.79 / $26,250.37 / $44,661.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,975.14 / $30,445.66 / $49,835.16
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.32 / $16,619.20 / $25,429.73
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,592.78 / $30,079.02 / $35,350.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,487.48 / $32,083.67 / $40,444.08