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Wisconsin rates for MS-DRG 604

Trauma to the skin, subcutaneous tissue and breast with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,137.40 / $22,137.40 / $26,237.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,189.67 / $26,341.46 / $39,405.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,105.70 / $22,409.63 / $38,127.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,198.86 / $25,991.10 / $42,543.69
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.16 / $15,030.83 / $21,709.06
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,433.50 / $25,678.11 / $30,178.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,636.23 / $27,389.45 / $34,526.62