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Utah rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,992.80 / $15,461.80 / $18,067.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,632.76 / $20,899.95 / $24,764.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,744.70 / $11,753.51 / $17,618.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $8,178.73