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Wisconsin rates for MS-DRG 001

Heart transplant or implant of heart assist system w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416,869.38 / $501,187.23 / $524,807.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309,029.54 / $537,031.80 / $776,247.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323,593.66 / $426,579.52 / $489,778.82
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371,535.23 / $416,869.38 / $537,031.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309,029.54 / $489,778.82 / $812,830.52
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $301,995.17 / $416,869.38
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457,088.19 / $575,439.94 / $602,559.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316,227.77 / $537,031.80 / $724,435.96