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Utah rates for MS-DRG 383

Uncomplicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,371.20 / $24,974.30 / $28,193.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,404.83 / $31,321.82 / $36,001.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,712.80 / $17,612.00 / $25,613.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $13,210.54