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Louisiana rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,361.90 / $17,057.40 / $28,548.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,423.00 / $19,495.08 / $29,393.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,652.27 / $19,190.32 / $32,182.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $15,487.64 / $34,438.57