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Idaho rates for MS-DRG 383

Uncomplicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,150.20 / $12,150.20 / $12,150.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,567.83 / $48,345.21 / $50,506.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,326.19 / $27,203.64 / $28,595.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $17,648.08 / $29,230.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,110.75 / $17,949.09 / $25,980.63