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Wisconsin rates for MS-DRG 689

Kidney & urinary tract infections w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,448.59 / $17,448.59 / $20,680.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,752.75 / $20,749.41 / $31,039.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,270.80 / $17,663.13 / $30,051.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,767.84 / $20,486.02 / $33,532.67
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.60 / $11,839.93 / $17,110.93
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,529.17 / $20,239.32 / $23,786.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,112.57 / $21,588.19 / $27,213.68