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Texas rates for MS-DRG 024

Amputation for Circulatory System Disorders Except Upper Limb and Toe with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $54,751.00 / $88,682.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,491.09 / $43,491.09 / $43,491.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.13 / $2,587.00 / $52,890.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,511.80 / $55,158.00 / $103,117.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72,232.30 / $118,232.87 / $118,232.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,409.00 / $49,563.77 / $112,783.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,136.59 / $52,192.57 / $106,970.91