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Oklahoma rates for MS-DRG 176

Complicated Peptic Ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,110.14 / $9,360.54 / $13,253.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,064.11 / $8,064.11 / $8,064.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,263.65 / $10,129.19 / $16,233.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,313.00 / $8,420.29 / $14,981.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,944.50 / $7,982.10 / $17,715.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.00 / $7,944.55 / $15,742.58