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Texas rates for MS-DRG 153

Otitis Media And Uri Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $10,251.00 / $16,735.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,936.26 / $13,531.60 / $17,862.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,654.97 / $10,332.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,338.19 / $10,409.00 / $17,911.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,522.30 / $22,133.87 / $22,133.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,104.00 / $11,885.45 / $29,824.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,493.00 / $9,227.50 / $17,911.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,543.36 / $8,267.84 / $18,902.34