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Indiana rates for MS-DRG 381

Complicated peptic ulcer w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,168.60 / $20,185.59 / $27,087.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,281.22 / $16,281.22 / $16,281.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,709.32 / $17,005.20 / $27,208.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,992.04 / $16,252.50 / $37,273.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,863.24 / $16,009.80 / $22,679.82