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Texas rates for MS-DRG 150

Peritoneal Adhesiolysis W Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $19,906.00 / $30,185.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,027.00 / $19,928.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,267.00 / $17,975.25 / $32,193.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,261.80 / $42,986.42 / $42,986.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,712.00 / $16,457.34 / $32,193.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,192.85 / $14,912.80 / $34,094.39