go back

Wisconsin rates for MS-DRG 847

Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,672.70 / $19,672.70 / $23,316.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,846.81 / $22,529.51 / $33,702.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,089.85 / $19,914.59 / $33,882.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,395.32 / $23,097.32 / $37,806.98
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.69 / $12,855.67 / $19,292.03
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,381.16 / $22,819.17 / $26,818.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,783.99 / $24,339.98 / $30,682.52