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Iowa rates for MS-DRG 176

Complicated Peptic Ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,738.46 / $9,364.57 / $11,533.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,574.25 / $8,271.37 / $8,414.67
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,389.90 / $9,553.74 / $14,970.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,058.67 / $12,072.59 / $15,932.56