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Illinois rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,842.79 / $10,655.10 / $16,454.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,385.14 / $9,912.04 / $15,189.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,841.82 / $9,445.54 / $17,096.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.72 / $100.64 / $169.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,535.92 / $10,429.41 / $17,164.38