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Arizona rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,484.01 / $13,849.50 / $18,203.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,475.68 / $12,188.95 / $20,615.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,634.45 / $13,911.02 / $23,283.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,929.59 / $15,524.88 / $22,667.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,929.59 / $14,432.44 / $22,667.59