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Virginia rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,566.92 / $14,809.40 / $16,759.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,692.56 / $14,659.71 / $19,799.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,834.36 / $13,400.00 / $18,577.37
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,750.79 / $15,381.00 / $19,893.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,958.00 / $13,817.84 / $22,724.86