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Texas rates for MS-DRG 178

Uncomplicated Peptic Ulcer W/O Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $14,289.00 / $22,125.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,348.04 / $11,620.40 / $17,975.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,027.00 / $15,955.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,379.94 / $13,762.00 / $25,727.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,849.90 / $30,854.31 / $30,854.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,576.00 / $7,576.00 / $14,711.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,618.08 / $12,200.00 / $28,139.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,026.00 / $10,931.20 / $24,991.46