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Washington rates for MS-DRG 382

Complicated peptic ulcer without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,433.30 / $19,830.90 / $34,922.19
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $15,780.26 / $23,088.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,496.62 / $15,419.56 / $25,831.36
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,203.53 / $13,066.20 / $16,511.03
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,409.00 / $13,958.71 / $21,607.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,918.14 / $15,293.42 / $20,792.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $12,421.31 / $32,357.85