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Idaho rates for MS-DRG 382

Complicated peptic ulcer w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,045.28 / $7,045.28 / $7,045.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,203.89 / $28,033.01 / $29,285.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,139.14 / $15,929.23 / $18,086.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $9,556.12 / $15,827.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,182.13 / $10,407.79 / $15,064.89