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Wisconsin rates for MS-DRG 839

Chemotherapy with acute leukemia as secondary diagnosis without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,713.40 / $21,713.40 / $25,734.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,933.24 / $24,297.19 / $36,347.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,758.86 / $21,980.35 / $37,397.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,888.55 / $25,493.21 / $41,728.71
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.68 / $13,864.34 / $21,293.19
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,080.39 / $25,186.21 / $29,600.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,882.90 / $27,363.35 / $36,022.42