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Idaho rates for MS-DRG 176

Complicated Peptic Ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,084.00 / $7,084.00 / $7,084.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,320.43 / $28,187.08 / $29,446.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,208.22 / $16,528.55 / $18,399.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $10,294.50 / $17,050.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,227.10 / $10,465.00 / $15,147.69