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New York rates for MS-DRG 392

Esophagitis, gastroent & misc digest disorders w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,203.28 / $13,363.90 / $22,563.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,831.16 / $22,305.65 / $28,672.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,056.19 / $17,772.54 / $28,416.42
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,964.07 / $19,146.20 / $40,150.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,125.45 / $7,575.85 / $8,165.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,056.19 / $19,019.75 / $28,423.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,870.00 / $15,806.00 / $24,445.92