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California rates for MS-DRG 155

Stomach,Esoph & Duod Proc Age >17 W/O Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,047.50 / $17,463.90 / $28,318.70
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,223.97 / $20,223.97 / $20,223.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,741.77 / $15,439.87 / $32,818.83
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $12,709.71 / $27,177.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,418.96 / $18,635.65 / $32,154.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,038.20 / $24,740.40 / $29,034.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,250.71 / $15,394.45 / $32,434.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $14,192.00 / $29,054.88