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Texas rates for MS-DRG 113

Orbital Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $32,502.00 / $53,299.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,536.23 / $25,536.23 / $25,536.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,030.00 / $33,337.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,634.00 / $32,753.17 / $61,975.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,875.40 / $70,180.25 / $70,180.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,984.34 / $29,059.60 / $67,784.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $26,332.32 / $60,202.27