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Alaska rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $23,442.29 / $48,977.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,673.69 / $34,673.69 / $36,307.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $16,218.10
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $13,182.57 / $21,379.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,673.69 / $34,673.69 / $36,307.81