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Wisconsin rates for MS-DRG 664

Minor Bladder Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,743.30 / $15,743.30 / $18,658.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,766.58 / $19,144.84 / $28,639.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,876.06 / $15,936.85 / $27,114.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,519.99 / $18,483.86 / $30,255.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.09 / $10,924.34 / $15,608.25
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,109.19 / $18,261.27 / $21,461.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,831.04 / $19,478.31 / $24,553.99