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Wisconsin rates for MS-DRG 382

Complicated peptic ulcer without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,039.40 / $12,039.40 / $14,269.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,165.12 / $13,285.08 / $19,873.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,846.76 / $12,187.45 / $20,735.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,809.73 / $14,135.23 / $23,137.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.11 / $7,580.67 / $11,806.45
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,025.04 / $13,965.01 / $16,412.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,047.60 / $14,895.72 / $18,777.27