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New York rates for MS-DRG 377

Gastrointestinal Hemorrhage With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,850.80 / $31,533.00 / $51,928.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,189.44 / $52,218.70 / $67,711.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,646.00 / $41,672.92 / $66,630.60
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,363.67 / $44,893.85 / $94,143.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,153.41 / $17,153.41 / $17,464.36
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,648.00 / $44,597.39 / $66,647.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,295.00 / $30,664.70 / $60,982.08