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California rates for MS-DRG 381

Complicated peptic ulcer w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,060.50 / $20,646.09 / $33,478.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,864.03 / $18,175.98 / $41,841.04
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $15,226.02 / $29,679.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,786.32 / $22,093.65 / $38,013.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,876.08 / $28,861.15 / $33,871.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,035.92 / $18,330.65 / $38,345.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $16,778.00 / $34,349.12