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California rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,303.79 / $16,288.20 / $26,412.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,868.30 / $14,512.75 / $33,408.29
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $11,992.41 / $25,464.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,950.46 / $17,430.23 / $29,989.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,870.20 / $23,044.40 / $27,044.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,515.92 / $14,527.33 / $30,251.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $13,236.58 / $27,098.87