go back

North Carolina rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $4,479.00 / $12,578.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,129.93 / $9,129.93 / $9,129.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.36 / $10,156.73 / $15,642.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,293.27 / $12,625.40 / $17,270.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,019.85 / $13,665.69 / $20,048.48