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Indiana 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
$10,293.00 / $17,074.40 / $22,912.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,323.04 / $14,579.09 / $23,324.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,451.95 / $13,747.50 / $31,528.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,034.76 / $13,542.20 / $19,184.18