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Arizona rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $38,904.51 / $54,954.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $21,877.62 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $31,622.78 / $53,703.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $35,481.34 / $52,480.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $34,673.69 / $50,118.72