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Michigan rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.80 / $7,479.50 / $12,141.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,877.87 / $11,877.87 / $11,877.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,016.41 / $12,818.17 / $16,433.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,022.42 / $11,643.78 / $14,727.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,351.05 / $8,043.67 / $12,862.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,257.99 / $10,701.24 / $16,258.30