go back

Indiana rates for MS-DRG 178

Uncomplicated Peptic Ulcer W/O Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,961.30 / $18,182.90 / $24,400.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,958.09 / $14,932.48 / $21,678.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,308.87 / $15,619.77 / $23,820.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,000.67 / $14,640.00 / $33,575.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,686.22 / $14,421.38 / $20,429.63