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Wisconsin rates for MS-DRG 658

Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,336.00 / $23,336.00 / $27,657.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,389.08 / $26,665.92 / $39,890.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,085.95 / $23,622.90 / $40,191.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,075.87 / $27,398.27 / $44,847.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.09 / $15,215.97 / $22,884.39
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,431.50 / $27,068.33 / $31,812.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,536.91 / $29,408.16 / $38,714.31