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Idaho rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,522.24 / $7,522.24 / $7,522.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,639.38 / $29,930.82 / $31,268.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,990.17 / $17,551.08 / $19,068.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $11,053.09 / $18,307.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,736.06 / $11,112.40 / $16,084.77