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Wisconsin rates for MS-DRG 801

Splenic procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $33,884.42 / $35,481.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $36,307.81 / $52,480.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $30,199.52 / $53,703.18
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,118.86 / $28,840.32 / $36,307.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $33,884.42 / $54,954.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $21,877.62 / $28,183.83
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,622.78 / $38,904.51 / $40,738.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $36,307.81 / $48,977.88