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Utah rates for MS-DRG 381

Complicated peptic ulcer w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,201.50 / $19,598.50 / $24,667.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,012.62 / $26,491.68 / $31,015.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,951.99 / $14,720.28 / $22,066.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $10,366.93