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Alaska rates for MS-DRG 382

Complicated peptic ulcer w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,015.60 / $21,074.20 / $42,817.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,212.94 / $32,212.94 / $34,225.65
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $12,449.33 / $18,381.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $11,651.62 / $34,225.65