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Texas rates for MS-DRG 155

Other Ear, Nose, Mouth And Throat Diagnoses With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $13,447.00 / $20,777.09
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,881.36 / $14,881.36 / $19,058.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,914.00 / $13,460.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.64 / $106.64 / $106.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,869.07 / $12,412.16 / $22,159.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,738.40 / $29,034.96 / $29,034.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,997.18 / $19,997.18 / $19,997.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,092.70 / $11,456.25 / $22,159.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,800.00 / $10,264.79 / $23,467.90