go back

Idaho rates for MS-DRG 038

Complicated Peptic Ulcer with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,278.90 / $14,278.90 / $14,278.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,974.56 / $56,815.34 / $59,354.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,046.13 / $32,661.27 / $34,378.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $20,193.93 / $33,447.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,582.97 / $22,716.40 / $69,165.00