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Arkansas rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,125.50 / $7,894.93 / $16,044.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,137.30 / $4,137.30 / $4,137.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,217.47 / $7,793.73 / $8,910.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,889.46 / $8,654.85 / $11,256.01
Qualchoice
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,757.89 / $4,757.89 / $4,757.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.00 / $6,940.98 / $10,689.27