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Texas rates for MS-DRG 121

Acute Major Eye Infections With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $16,752.00 / $26,372.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,791.18 / $16,791.18 / $16,791.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,027.00 / $17,476.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,988.09 / $15,704.55 / $28,126.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,100.80 / $36,175.51 / $36,175.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.00 / $14,378.39 / $28,126.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,982.41 / $12,797.46 / $29,440.80