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Missouri rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,755.70 / $22,887.10 / $37,998.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,979.43 / $19,088.24 / $38,427.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,383.50 / $20,392.00 / $33,963.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,727.96 / $24,411.73 / $35,101.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,794.78 / $24,507.88 / $59,845.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,794.78 / $23,399.24 / $32,886.47