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Washington rates for MS-DRG 383

Uncomplicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,442.30 / $34,199.90 / $60,226.10
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,217.66 / $27,642.41 / $39,316.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,826.84 / $26,592.28 / $44,548.29
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,409.87 / $22,314.20 / $27,645.13
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,068.61 / $23,688.30 / $38,861.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,163.43 / $27,642.41 / $37,898.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $21,421.56 / $55,803.75