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Wisconsin rates for MS-DRG 621

O.R. procedures for obesity w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $26,915.35 / $28,183.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $28,840.32 / $41,686.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $23,442.29 / $38,904.51
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $22,387.21 / $28,840.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $26,915.35 / $38,018.94
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $16,982.44 / $22,387.21
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,118.86 / $30,902.95 / $32,359.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $28,840.32 / $38,904.51