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Connecticut rates for MS-DRG 176

Complicated Peptic Ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,656.70 / $18,890.90 / $28,980.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,613.74 / $17,546.77 / $23,245.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,175.63 / $18,553.64 / $25,861.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,845.00 / $18,694.52 / $24,050.18