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Wisconsin rates for MS-DRG 839

Chemo w acute leukemia as sdx w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $25,703.96 / $26,915.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $27,542.29 / $39,810.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $22,908.68 / $40,738.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $21,877.62 / $27,542.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $25,703.96 / $41,686.94
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $16,595.87 / $21,379.62
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $29,512.09 / $30,902.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $27,542.29 / $37,153.52