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Virginia rates for MS-DRG 381

Complicated peptic ulcer w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,126.50 / $18,771.59 / $21,243.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,139.10 / $18,360.04 / $24,796.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,197.97 / $16,035.80 / $23,547.71
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,480.00 / $17,573.00 / $22,454.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $21,694.92 / $28,874.19