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Washington rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,473.00 / $48,603.70 / $85,591.20
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,332.91 / $40,542.44 / $59,421.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,177.19 / $37,791.97 / $63,310.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,733.07 / $31,682.02 / $38,988.87
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,198.76 / $35,847.78 / $55,610.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,099.32 / $39,359.69 / $53,511.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $30,443.53 / $79,306.24