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Oregon rates for MS-DRG 384

Uncomplicated peptic ulcer without MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,685.00 / $20,352.80 / $24,575.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,916.00 / $18,378.20 / $31,546.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,049.75 / $17,521.64 / $20,977.90
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,044.48 / $14,974.47 / $19,641.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,975.93 / $18,870.32 / $29,211.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,109.18 / $16,783.28 / $22,329.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $16,757.50 / $24,139.55