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Texas rates for MS-DRG 063

Ischemic stroke/precereb occl/trans isch w thrombolytic w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $20,232.00 / $31,824.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,110.69 / $22,110.69 / $22,110.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,027.00 / $22,621.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,053.03 / $19,794.00 / $36,851.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,691.20 / $43,689.28 / $43,689.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,691.76 / $40,691.76 / $40,691.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,395.55 / $17,547.50 / $40,472.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,474.82 / $15,722.56 / $35,799.71