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Tennessee rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,143.56 / $12,059.50 / $21,221.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,300.43 / $6,311.15 / $10,440.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,498.19 / $11,115.93 / $15,893.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,044.40 / $23,044.40 / $27,044.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $10,509.77 / $15,012.00