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Wisconsin rates for MS-DRG 003

Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316,227.77 / $380,189.40 / $389,045.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213,796.21 / $398,107.17 / $549,540.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245,470.89 / $331,131.12 / $602,559.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275,422.87 / $316,227.77 / $407,380.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234,422.88 / $371,535.23 / $616,595.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $239,883.29 / $316,227.77
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346,736.85 / $436,515.83 / $457,088.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239,883.29 / $398,107.17 / $549,540.87