go back

Wisconsin rates for MS-DRG 016

Autologous bone marrow transplant w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89,125.09 / $104,712.85 / $109,647.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $114,815.36 / $162,181.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,183.10 / $91,201.08 / $102,329.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77,624.71 / $89,125.09 / $112,201.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $104,712.85 / $169,824.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $63,095.73 / $89,125.09
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97,723.72 / $123,026.88 / $125,892.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $112,201.85 / $151,356.12