go back

Utah rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,529.70 / $31,991.62 / $40,068.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,998.59 / $47,676.46 / $54,800.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,350.75 / $26,008.84 / $38,988.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $18,774.33