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Texas rates for MS-DRG 125

Other disorders of the eye w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $10,964.78 / $17,782.79
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $15,488.17 / $15,488.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $8,317.64 / $14,454.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $11,481.54 / $21,379.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,542.29 / $27,542.29 / $27,542.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $10,471.29 / $17,782.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $10,000.00 / $22,908.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $9,332.54 / $20,892.96