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Pennsylvania rates for MS-DRG 381

Complicated peptic ulcer w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $17,782.79 / $25,118.86
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $11,748.98
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $21,877.62 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $16,595.87 / $26,302.68
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $19,054.61 / $23,442.29
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $18,197.01 / $22,908.68
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $17,378.01 / $23,442.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $17,782.79 / $25,118.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $9,120.11 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $12,882.50 / $22,908.68