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Wisconsin rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,854.50 / $12,854.50 / $15,235.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,476.03 / $15,418.00 / $23,064.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,513.38 / $13,012.53 / $22,139.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,406.14 / $15,092.18 / $24,703.72
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.40 / $8,797.74 / $12,605.74
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,703.73 / $14,910.43 / $17,523.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.11 / $15,904.15 / $20,048.48