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Wisconsin rates for MS-DRG 742

Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,591.70 / $27,591.70 / $32,701.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,905.54 / $32,387.39 / $48,449.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,566.63 / $27,930.98 / $47,521.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,189.97 / $32,394.86 / $53,025.72
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.82 / $18,480.72 / $27,057.80
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,975.20 / $32,004.75 / $37,613.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,735.11 / $34,137.74 / $43,033.40