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Wisconsin rates for MS-DRG 038

Complicated Peptic Ulcer with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,400.70 / $24,400.70 / $28,919.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,558.33 / $28,568.34 / $42,736.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,956.73 / $24,700.68 / $42,025.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,854.93 / $28,648.30 / $46,893.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.29 / $16,301.52 / $23,928.48
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,318.05 / $28,303.30 / $33,263.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,337.04 / $30,189.61 / $38,056.46