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Alaska rates for MS-DRG 383

Uncomplicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,997.30 / $36,344.19 / $73,841.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,553.85 / $55,553.85 / $59,024.93
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $21,469.89 / $31,013.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $19,658.31 / $59,024.93