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Utah rates for MS-DRG 178

Uncomplicated Peptic Ulcer W/O Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,693.30 / $17,654.09 / $25,065.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,423.92 / $23,863.30 / $28,253.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,976.56 / $14,136.09 / $20,100.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $9,338.37