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South Carolina rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,781.00 / $34,201.10 / $34,201.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,141.00 / $14,141.00 / $14,141.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,653.39 / $19,043.03 / $35,387.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,942.00 / $37,656.58 / $59,179.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,965.00 / $51,095.69 / $65,973.09