go back

Idaho rates for MS-DRG 381

Complicated peptic ulcer w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,534.79 / $9,534.79 / $9,534.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,696.50 / $37,938.75 / $39,634.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,659.57 / $21,953.99 / $23,211.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $13,543.41 / $22,432.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,073.37 / $14,085.50 / $20,388.22