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South Carolina rates for MS-DRG 176

Complicated Peptic Ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,628.00 / $14,031.20 / $14,031.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,410.33 / $15,782.59 / $18,303.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,604.37 / $11,615.06 / $26,854.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,598.44 / $16,442.13 / $24,878.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,965.00 / $20,962.20 / $27,065.71