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Wisconsin rates for MS-DRG 915

Allergic Reactions With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,287.90 / $25,287.90 / $29,971.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,937.89 / $30,812.96 / $46,094.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,682.39 / $25,598.83 / $43,553.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,504.18 / $29,689.99 / $48,598.24
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.58 / $17,582.33 / $25,120.93
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,056.84 / $29,332.45 / $34,472.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,003.80 / $31,287.35 / $39,440.25