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Wisconsin rates for MS-DRG 901

Wound debridements for injuries with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,108.50 / $63,108.50 / $74,796.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,279.15 / $78,552.75 / $117,510.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,614.95 / $63,884.42 / $108,691.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,179.01 / $74,094.33 / $121,281.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.21 / $44,823.37 / $64,041.81
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,549.45 / $73,202.05 / $86,030.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,425.86 / $78,080.67 / $98,427.06