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Wisconsin rates for MS-DRG 794

Neonate With Other Significant Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,228.00 / $2,228.00 / $26,305.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,452.00 / $2,110.00 / $4,161.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,688.50 / $6,998.89 / $38,022.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,822.00 / $21,478.77 / $36,560.99
Network Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.86 / $1,429.00 / $1,764.61
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.63 / $14,887.48 / $21,338.12
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,534.06 / $1,717.49 / $24,693.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $20,662.59 / $33,424.71