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Virginia rates for MS-DRG 337

Peritoneal Adhesiolysis Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,179.70 / $26,606.20 / $30,399.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,110.22 / $25,901.74 / $36,533.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,864.23 / $24,480.18 / $34,480.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,434.00 / $24,771.00 / $31,873.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $24,813.28 / $40,807.98