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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
$26,976.70 / $26,976.70 / $31,972.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,843.78 / $33,913.94 / $50,733.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,063.59 / $27,308.36 / $46,462.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,739.91 / $31,672.74 / $51,843.71
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.62 / $19,351.80 / $27,649.06
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,463.05 / $31,291.32 / $36,775.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,272.90 / $33,996.19 / $44,754.22