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Wisconsin rates for MS-DRG 639

Diabetes Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $10,964.78 / $11,481.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $12,022.64 / $16,982.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $9,772.37 / $17,378.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $9,332.54 / $11,748.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $10,964.78 / $17,782.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $7,079.46 / $9,332.54
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $12,882.50 / $13,182.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $11,748.98 / $15,848.93