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Pennsylvania rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,695.09 / $32,080.00 / $43,808.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,383.00 / $32,844.60 / $48,039.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,987.20 / $28,761.93 / $41,363.18
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,333.13 / $32,333.13 / $39,261.66
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,059.69 / $35,350.80 / $45,514.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,663.70 / $31,686.00 / $43,808.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,628.00 / $26,489.70 / $40,909.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $14,978.54 / $21,387.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,126.19 / $24,733.53 / $44,863.74