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Illinois 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
$8,408.89 / $11,424.20 / $17,787.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,953.81 / $12,953.81 / $12,953.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,840.68 / $10,619.23 / $15,941.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,335.67 / $10,127.33 / $18,330.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.97 / $107.90 / $181.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,079.86 / $11,182.22 / $18,403.32