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Missouri rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,404.71 / $9,970.39 / $16,553.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,783.83 / $7,783.83 / $7,783.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,048.06 / $9,060.36 / $15,348.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,594.16 / $10,709.00 / $15,796.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,342.50 / $10,676.45 / $27,044.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,342.50 / $10,193.49 / $14,326.45