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Wisconsin rates for MS-DRG 623

Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $31,622.78 / $33,113.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $34,673.69 / $48,977.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $28,183.83 / $50,118.72
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $26,915.35 / $33,884.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $31,622.78 / $51,286.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $20,417.38 / $26,915.35
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,512.09 / $37,153.52 / $38,018.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $33,884.42 / $45,708.82