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Wisconsin rates for MS-DRG 793

Full term neonate w major problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,230.00 / $3,230.00 / $74,314.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.00 / $3,754.00 / $6,211.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,572.15 / $19,772.74 / $107,417.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,475.00 / $60,680.19 / $103,289.33
Network Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $1,942.07 / $2,228.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.53 / $42,059.49 / $60,283.58
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,589.96 / $3,284.29 / $69,762.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $58,374.40 / $94,428.93