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Wisconsin rates for MS-DRG 696

Kidney and urinary tract signs and symptoms without MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,361.20 / $10,361.20 / $12,280.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,538.54 / $12,265.61 / $18,348.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,474.17 / $10,488.58 / $17,845.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,581.69 / $12,164.85 / $19,912.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.90 / $6,998.94 / $10,160.68
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.60 / $12,018.35 / $14,124.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,786.40 / $12,819.33 / $16,159.81