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Wisconsin rates for MS-DRG 383

Uncomplicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,763.00 / $20,763.00 / $24,608.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,775.98 / $22,414.26 / $33,530.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,981.55 / $21,018.26 / $35,760.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,193.10 / $24,377.36 / $39,902.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.65 / $12,789.91 / $20,265.13
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,289.00 / $24,083.80 / $28,304.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,603.32 / $25,688.89 / $32,382.94