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Texas rates for MS-DRG 059

Skin Ulcers with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $17,622.00 / $28,131.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,563.92 / $16,683.23 / $26,721.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,027.00 / $17,160.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,654.37 / $16,752.15 / $30,002.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,248.40 / $38,053.96 / $38,053.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,321.07 / $18,503.64 / $100,180.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,915.00 / $15,511.25 / $30,002.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $13,405.79 / $31,404.70