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Alaska rates for MS-DRG 391

Esophagitis, gastroent & misc digest disorders w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,450.80 / $33,385.50 / $67,830.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,031.32 / $51,031.32 / $54,219.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $19,722.07 / $31,521.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $19,980.20 / $54,219.83