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Wisconsin rates for MS-DRG 621

O.R. Procedures For Obesity Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,683.30 / $22,683.30 / $26,884.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,929.23 / $25,917.71 / $38,771.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,552.16 / $22,962.22 / $39,067.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,598.30 / $27,308.07 / $43,592.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.33 / $14,789.03 / $22,244.37
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,888.05 / $26,311.29 / $30,922.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,361.68 / $28,237.25 / $37,631.56