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Texas rates for MS-DRG 152

Otitis media & URI w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $16,343.00 / $26,800.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,422.68 / $16,540.00 / $22,758.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,027.00 / $16,638.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,150.37 / $16,469.23 / $28,583.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,561.20 / $35,292.28 / $35,292.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,733.00 / $5,733.00 / $5,733.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,399.00 / $14,777.50 / $28,583.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,610.58 / $13,240.64 / $30,271.41