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Texas rates for MS-DRG 012

Acute Major Eye Infections with CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $59,101.00 / $95,576.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,910.00 / $56,871.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,836.00 / $59,446.00 / $111,133.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77,970.30 / $127,625.07 / $127,625.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,084.00 / $52,700.00 / $121,551.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $47,219.20 / $107,954.90