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Pennsylvania rates for MS-DRG 383

Uncomplicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,637.50 / $22,573.10 / $30,825.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,375.00 / $22,854.21 / $34,119.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,699.00 / $20,238.30 / $29,864.54
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,751.17 / $22,751.17 / $27,626.43
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,206.52 / $25,348.60 / $41,337.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,451.20 / $21,681.10 / $30,594.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,249.38 / $18,639.45 / $28,786.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $10,043.94 / $14,050.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,421.64 / $17,403.72 / $31,568.32