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Wisconsin rates for MS-DRG 734

Pelvic evisceration, radical hysterectomy and radical vulvectomy with CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,030.90 / $32,030.90 / $37,963.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,914.21 / $37,282.64 / $55,772.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,197.36 / $32,424.78 / $55,167.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,438.33 / $37,606.85 / $61,557.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.08 / $21,274.03 / $31,411.11
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,671.67 / $37,153.97 / $43,665.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,071.17 / $39,630.14 / $49,957.02