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Texas rates for MS-DRG 139

Salivary gland procedures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $18,552.80 / $28,013.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,699.77 / $19,699.77 / $23,304.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,030.00 / $18,927.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,609.72 / $17,214.54 / $32,573.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,087.00 / $42,700.30 / $42,700.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,056.14 / $69,056.14 / $69,056.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,869.00 / $15,446.25 / $35,626.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,819.22 / $13,839.84 / $31,641.33