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Wisconsin rates for MS-DRG 004

Trach w MV >96 hrs or PDX exc face, mouth & neck w/o maj O.R.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208,929.61 / $245,470.89 / $257,039.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141,253.75 / $263,026.80 / $354,813.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158,489.32 / $218,776.16 / $389,045.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181,970.09 / $208,929.61 / $263,026.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151,356.12 / $245,470.89 / $398,107.17
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $158,489.32 / $204,173.79
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229,086.77 / $281,838.29 / $295,120.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154,881.66 / $263,026.80 / $354,813.39