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Wisconsin rates for MS-DRG 667

Prostatectomy w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,635.00 / $16,635.00 / $19,715.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,199.93 / $18,222.89 / $27,260.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,605.41 / $16,839.57 / $28,650.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,172.53 / $19,530.84 / $31,969.18
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.76 / $10,398.25 / $16,313.13
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,851.74 / $19,295.65 / $22,677.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,501.19 / $20,581.63 / $25,944.81