go back

Wisconsin rates for MS-DRG 639

Diabetes Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,341.61 / $9,341.61 / $11,071.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,828.06 / $11,109.61 / $16,619.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,640.28 / $9,456.46 / $16,089.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,835.63 / $10,967.78 / $17,952.68
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.44 / $6,339.31 / $9,160.84
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,778.61 / $10,835.70 / $12,734.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,020.19 / $11,557.86 / $14,569.62