go back

Wisconsin rates for MS-DRG 964

Other Multiple Significant Trauma With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,047.20 / $23,047.20 / $27,315.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,346.58 / $26,596.77 / $39,787.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,849.80 / $23,330.62 / $39,694.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,864.59 / $27,059.28 / $44,292.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.47 / $15,176.51 / $22,601.25
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,191.08 / $26,733.42 / $31,418.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,319.93 / $28,515.10 / $35,945.60