go back

Tennessee rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,398.09 / $27,682.70 / $48,713.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,906.92 / $24,906.92 / $24,906.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,422.66 / $22,820.04 / $37,750.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,916.64 / $25,093.65 / $34,430.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,993.95 / $50,993.95 / $59,845.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $24,125.25 / $34,460.16