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Wisconsin rates for MS-DRG 884

Organic disturbances & intellectual disability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.00 / $1,337.00 / $28,675.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $22,756.47 / $42,543.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,286.50 / $4,440.56 / $21,484.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,704.18 / $28,406.42 / $46,497.21
Network Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,683.67 / $6,683.67 / $6,683.67
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.73 / $16,843.97 / $24,103.98
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,146.50 / $28,064.33 / $32,982.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,182.21 / $29,934.71 / $37,735.14