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Tennessee rates for MS-DRG 381

Complicated peptic ulcer w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,054.81 / $15,286.00 / $26,899.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,292.84 / $16,292.84 / $16,292.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,228.28 / $11,789.49 / $19,384.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,236.77 / $14,089.97 / $19,535.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,861.15 / $28,861.15 / $33,871.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $13,321.63 / $19,028.43