go back

Wisconsin rates for MS-DRG 921

Complications Of Treatment Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,352.20 / $10,352.20 / $12,269.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,493.86 / $12,192.92 / $18,239.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,466.79 / $10,479.44 / $17,829.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,575.09 / $12,154.25 / $19,894.75
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.24 / $6,957.46 / $10,151.83
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,620.08 / $12,007.89 / $14,112.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,779.62 / $12,808.16 / $16,145.73