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Wisconsin rates for MS-DRG 894

Alcohol/drug abuse or dependence, left ama

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.00 / $1,337.00 / $10,995.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $8,503.36 / $15,897.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.14 / $1,702.64 / $8,237.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,788.31 / $10,891.86 / $17,828.41
Network Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,834.95 / $5,834.95 / $5,834.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.04 / $6,314.02 / $9,006.87
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,724.77 / $10,760.70 / $12,646.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,971.60 / $11,477.86 / $14,468.77