go back

Wisconsin rates for MS-DRG 583

Mastectomy for malignancy w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $30,902.95 / $31,622.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $33,113.11 / $47,863.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $26,915.35 / $48,977.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $25,703.96 / $33,113.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $30,199.52 / $50,118.72
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $19,498.45 / $25,703.96
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $35,481.34 / $37,153.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $32,359.37 / $44,668.36