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Texas rates for MS-DRG 004

Trach w MV >96 hrs or PDX exc face, mouth & neck w/o maj O.R.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131,825.67 / $199,526.23 / $323,593.66
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,954.09 / $54,954.09 / $54,954.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,255.96 / $117,489.76 / $213,796.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125,892.54 / $186,208.71 / $380,189.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501,187.23 / $501,187.23 / $501,187.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75,857.76 / $186,208.71 / $323,593.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123,026.88 / $181,970.09 / $416,869.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $169,824.37 / $380,189.40