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Idaho rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,267.40 / $17,267.40 / $17,267.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,968.87 / $68,706.42 / $71,777.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,535.19 / $39,053.60 / $40,288.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $24,593.97 / $40,735.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,053.68 / $25,508.60 / $36,922.72