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Texas rates for MS-DRG 039

Extracranial procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,220.00 / $15,167.50 / $26,648.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,753.30 / $16,480.40 / $21,255.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,030.00 / $16,833.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,991.75 / $16,375.89 / $30,986.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,625.80 / $35,398.01 / $35,398.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,072.02 / $20,607.89 / $24,960.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,379.67 / $14,693.75 / $33,890.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,642.40 / $14,331.00 / $27,423.00