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Texas rates for MS-DRG 058

Multiple sclerosis & cerebellar ataxia w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $25,666.40 / $38,754.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,545.14 / $23,545.14 / $23,545.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,027.00 / $26,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,530.75 / $23,078.25 / $41,332.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,072.10 / $57,407.49 / $57,407.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,094.89 / $21,129.42 / $41,332.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $19,146.40 / $43,773.46