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New Jersey rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,480.10 / $19,243.30 / $24,952.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,026.92 / $19,141.00 / $25,926.08
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,154.00 / $14,768.00 / $22,804.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $18,065.00 / $23,644.62