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Wisconsin rates for MS-DRG 897

Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.00 / $1,337.00 / $15,734.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $12,019.97 / $22,471.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,803.30 / $2,436.53 / $11,788.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,714.25 / $15,586.54 / $25,512.92
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
$141.41 / $8,896.99 / $12,731.73
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,054.34 / $15,398.84 / $18,097.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,266.75 / $16,303.55 / $20,705.18