go back

Wisconsin rates for MS-DRG 743

Uterine & adnexa proc for non-malignancy w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $21,877.62 / $22,908.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $23,988.33 / $33,884.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $19,498.45 / $34,673.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $18,620.87 / $23,442.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $21,877.62 / $35,481.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $14,125.38 / $18,620.87
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $25,703.96 / $26,302.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $23,442.29 / $31,622.78