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Wisconsin rates for MS-DRG 695

Kidney & urinary tract signs & symptoms w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,200.50 / $17,200.50 / $20,385.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,289.63 / $19,995.89 / $29,912.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,067.86 / $17,411.95 / $29,624.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,586.27 / $20,194.70 / $33,055.82
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.79 / $11,409.95 / $16,867.62
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,322.56 / $19,951.50 / $23,448.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,926.11 / $21,281.20 / $26,826.69