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California rates for MS-DRG 391

Esophagitis, gastroent & misc digest disorders w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,288.10 / $24,167.50 / $39,188.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,078.43 / $20,078.43 / $24,064.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,530.84 / $21,437.02 / $49,347.92
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $17,814.53 / $38,005.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,960.25 / $25,366.00 / $44,497.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.13 / $34,039.25 / $39,947.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,283.86 / $21,457.10 / $44,885.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $19,639.63 / $40,207.65