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Texas rates for MS-DRG 004

Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $203,501.00 / $314,011.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $2,519.00 / $179,239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117,736.90 / $175,497.24 / $357,975.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268,470.00 / $439,443.00 / $439,443.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292,702.71 / $292,702.71 / $408,342.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121,837.00 / $173,142.50 / $399,349.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,325.55 / $179,099.00 / $378,766.53