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Texas rates for MS-DRG 177

Respiratory Infections And Inflammations With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $23,282.00 / $35,426.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,214.21 / $19,648.27 / $28,732.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.00 / $2,767.00 / $25,810.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,417.34 / $22,034.00 / $40,386.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,713.50 / $50,273.15 / $50,273.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,413.88 / $26,203.00 / $51,171.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,798.64 / $19,533.75 / $43,508.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $17,502.24 / $40,014.50