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Virginia rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,960.90 / $34,010.80 / $38,470.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,448.24 / $32,468.71 / $44,624.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,339.00 / $27,933.88 / $43,272.40
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,496.00 / $27,804.00 / $40,743.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,102.50 / $31,718.96 / $52,165.09