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Wisconsin rates for MS-DRG 728

Inflammation of the male reproductive system without MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,198.80 / $12,198.80 / $14,458.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,903.93 / $14,487.18 / $21,671.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,977.14 / $12,348.82 / $21,010.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,926.37 / $14,322.38 / $23,443.68
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.97 / $8,266.60 / $11,962.77
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,157.77 / $14,149.91 / $16,629.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,167.39 / $15,092.94 / $19,025.88