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Wisconsin rates for MS-DRG 381

Complicated peptic ulcer w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,293.70 / $16,293.70 / $19,311.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,867.92 / $19,309.74 / $28,886.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,326.22 / $16,494.00 / $28,062.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,922.74 / $19,130.06 / $31,313.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.58 / $11,018.42 / $15,978.37
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,567.49 / $18,899.68 / $22,211.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,244.66 / $20,159.28 / $25,412.41