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Wisconsin rates for MS-DRG 917

Poisoning & toxic effects of drugs w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,585.60 / $23,585.60 / $27,953.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,867.81 / $29,071.88 / $43,489.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,290.11 / $23,875.60 / $40,621.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,258.53 / $27,691.36 / $45,326.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.83 / $16,588.84 / $23,701.47
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,639.36 / $27,357.88 / $32,152.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,724.52 / $29,181.18 / $36,785.25