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Wisconsin rates for MS-DRG 895

Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.00 / $1,337.00 / $25,230.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $19,727.63 / $36,880.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,891.65 / $3,907.06 / $18,903.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,577.13 / $24,993.55 / $40,910.83
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
$232.10 / $14,602.07 / $20,895.79
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,726.02 / $24,692.57 / $29,019.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,997.72 / $26,338.23 / $33,201.48