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Indiana rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,037.10 / $36,555.80 / $49,055.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,566.21 / $21,566.21 / $21,566.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,155.13 / $30,046.02 / $48,074.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,095.41 / $29,433.00 / $67,501.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,356.58 / $28,993.47 / $41,072.76