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Wisconsin rates for MS-DRG 896

Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.00 / $1,337.00 / $31,102.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $24,263.40 / $45,360.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,564.72 / $4,816.47 / $23,303.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,202.91 / $30,811.14 / $50,433.39
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
$285.45 / $17,959.37 / $25,700.13
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,851.99 / $30,440.09 / $35,774.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,721.41 / $32,468.81 / $40,929.58