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Illinois rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,003.20 / $24,458.80 / $36,612.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,665.15 / $22,665.15 / $22,665.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,489.07 / $21,819.40 / $32,618.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,705.45 / $21,682.31 / $39,244.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $223.83 / $366.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,298.75 / $23,940.80 / $39,400.98