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Virginia rates for MS-DRG 377

Gastrointestinal Hemorrhage With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,459.00 / $31,684.70 / $35,839.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,265.65 / $30,678.48 / $42,164.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,339.00 / $26,604.71 / $40,312.87
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,496.00 / $26,204.00 / $37,883.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,158.00 / $28,410.78 / $48,597.38