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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
$4,804.00 / $11,527.70 / $17,406.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,263.14 / $12,263.14 / $18,054.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,767.00 / $12,133.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,592.33 / $10,826.00 / $18,563.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,688.30 / $25,679.27 / $25,679.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,754.00 / $9,597.50 / $18,563.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,685.44 / $8,599.36 / $19,660.29