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Wisconsin rates for MS-DRG 805

Vaginal delivery without sterilization or D&C with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,782.00 / $6,461.00 / $16,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,841.53 / $7,804.00 / $10,657.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.47 / $11,966.98 / $27,951.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,497.00 / $11,614.00 / $24,440.64
Network Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,739.00 / $5,500.00 / $6,921.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.97 / $10,096.77 / $14,425.85
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,647.64 / $7,539.13 / $18,056.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,374.00 / $11,328.36 / $24,137.39