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Wisconsin rates for MS-DRG 675

Other Kidney And Urinary Tract Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,547.09 / $29,512.09 / $30,199.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $31,622.78 / $45,708.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $25,703.96 / $45,708.82
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $24,547.09 / $31,622.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $28,840.32 / $47,863.01
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $18,620.87 / $24,547.09
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $33,884.42 / $34,673.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $30,902.95 / $42,657.95