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Wisconsin rates for MS-DRG 903

Wound Debridements For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,588.40 / $17,588.40 / $20,845.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,284.53 / $21,614.64 / $32,334.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,385.18 / $17,804.70 / $30,292.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,870.17 / $20,650.22 / $33,801.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.42 / $12,333.63 / $17,621.80
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,645.63 / $20,401.54 / $23,976.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,217.67 / $21,761.23 / $27,431.80