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Texas rates for MS-DRG 103

Heart Transpl Or Impl Heart Assist Sys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $12,245.00 / $18,958.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,412.73 / $13,316.32 / $17,723.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,813.04 / $12,258.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,180.47 / $11,792.00 / $20,220.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,516.15 / $22,530.30 / $26,441.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,462.18 / $13,334.96 / $59,777.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,356.00 / $10,453.75 / $20,220.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,371.34 / $10,650.28 / $22,931.35