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Arizona rates for MS-DRG 381

Complicated peptic ulcer w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $21,379.62 / $30,902.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $17,378.01 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $17,378.01 / $29,512.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $19,498.45 / $28,840.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $19,054.61 / $28,183.83