go back

Wisconsin rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,507.60 / $29,507.60 / $34,972.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,969.09 / $34,117.83 / $51,038.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,133.55 / $29,870.37 / $50,820.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,591.87 / $34,644.21 / $56,707.58
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.47 / $19,468.14 / $28,936.56
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,570.49 / $34,227.01 / $40,225.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,174.86 / $36,508.10 / $46,021.44