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Wisconsin rates for MS-DRG 825

Lymphoma & non-acute leukemia w other proc w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,292.30 / $20,292.30 / $24,050.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,412.02 / $21,822.08 / $32,644.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,596.58 / $20,541.78 / $34,949.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,848.68 / $23,824.74 / $38,997.66
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.30 / $12,452.00 / $19,729.72
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,897.07 / $23,537.83 / $27,662.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,249.60 / $25,106.53 / $31,648.83