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Oklahoma rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,456.00 / $22,816.50 / $32,305.70
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,911.13 / $22,911.13 / $22,911.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,294.67 / $21,462.29 / $34,396.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,950.52 / $20,524.61 / $36,516.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,117.00 / $19,136.21 / $43,180.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.00 / $18,943.08 / $38,372.78