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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
$9,917.28 / $17,714.09 / $24,190.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,217.00 / $20,113.00 / $28,772.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,384.19 / $16,403.11 / $24,105.71
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,853.91 / $17,853.91 / $21,679.75
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,202.25 / $18,001.14 / $22,775.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,771.00 / $17,714.09 / $24,190.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,827.91 / $14,648.92 / $22,958.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $8,734.98 / $12,104.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,404.00 / $13,657.52 / $24,773.14