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North Carolina rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $9,772.37 / $16,982.44
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $10,232.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $10,000.00 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $13,182.57 / $17,378.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $12,022.64 / $18,620.87