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Wisconsin rates for MS-DRG 872

Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,388.40 / $15,388.40 / $18,238.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,234.80 / $18,279.63 / $27,345.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,585.80 / $15,577.59 / $26,503.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,260.30 / $18,067.18 / $29,573.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.27 / $10,430.62 / $15,090.61
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,813.67 / $17,849.61 / $20,977.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,256.30 / $19,392.56 / $25,529.29