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Iowa rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,217.19 / $9,943.89 / $12,246.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,042.81 / $8,783.07 / $8,935.21
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,847.06 / $10,144.77 / $15,896.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,619.06 / $12,819.44 / $16,918.20