go back

Texas rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $17,026.00 / $30,672.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,030.00 / $19,221.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,616.86 / $19,077.00 / $35,665.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,459.90 / $36,763.31 / $36,763.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,901.00 / $16,912.50 / $39,008.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $15,153.60 / $34,504.21