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Wisconsin rates for MS-DRG 902

Wound debridements for injuries w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,790.30 / $28,790.30 / $34,122.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,678.14 / $33,644.44 / $50,330.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,546.88 / $29,144.24 / $49,585.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,066.99 / $33,802.03 / $55,329.05
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.19 / $19,198.02 / $28,233.13
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,973.20 / $33,394.97 / $39,247.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,635.80 / $35,620.61 / $44,902.68