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Wisconsin rates for MS-DRG 735

Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,233.59 / $20,233.59 / $23,980.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,227.86 / $21,522.44 / $32,196.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,548.61 / $20,482.41 / $34,848.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,805.76 / $23,755.88 / $38,884.94
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.59 / $12,281.03 / $19,458.82
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,848.23 / $23,469.80 / $27,582.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,205.52 / $25,033.97 / $31,557.36