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California rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,652.40 / $37,389.69 / $60,629.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,262.84 / $32,114.64 / $73,927.75
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $25,956.69 / $56,703.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,714.35 / $39,037.46 / $68,841.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,118.48 / $50,993.95 / $59,845.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,522.64 / $32,959.07 / $69,442.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $30,384.67 / $62,205.66