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Washington rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,275.00 / $21,173.40 / $37,286.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $18,313.78 / $26,705.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,274.93 / $16,463.45 / $27,580.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,044.48 / $14,731.20 / $18,019.68
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,409.00 / $16,199.78 / $24,992.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,628.47 / $17,689.14 / $24,049.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $13,262.22 / $34,548.44