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Washington rates for MS-DRG 381

Complicated peptic ulcer w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,826.80 / $26,838.30 / $47,262.30
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,475.77 / $22,509.39 / $32,722.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,559.06 / $20,868.21 / $34,959.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,353.10 / $18,008.09 / $23,304.60
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $20,257.16 / $30,623.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,473.73 / $21,755.80 / $29,549.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $16,810.50 / $43,791.82