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New Jersey rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,470.80 / $44,002.30 / $57,278.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,312.38 / $43,938.00 / $59,513.53
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,803.00 / $32,179.00 / $50,503.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $18,764.00 / $54,276.41