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Pennsylvania rates for MS-DRG 382

Complicated peptic ulcer w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,327.89 / $13,089.00 / $17,874.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,534.00 / $14,625.71 / $20,946.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,006.85 / $12,273.20 / $17,811.75
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,192.29 / $13,192.29 / $16,019.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,130.90 / $14,687.49 / $22,797.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,219.81 / $13,089.00 / $17,688.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,592.94 / $10,824.11 / $16,691.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $6,102.67 / $8,328.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,841.22 / $10,091.56 / $18,304.91