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Texas rates for MS-DRG 189

Pulmonary Edema And Respiratory Failure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $17,824.00 / $28,006.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,900.88 / $18,439.55 / $24,243.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,027.00 / $17,908.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,607.14 / $17,419.00 / $31,927.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,510.60 / $38,483.14 / $38,483.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,096.89 / $33,996.00 / $124,145.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,908.58 / $15,442.50 / $32,431.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,818.06 / $13,836.48 / $31,633.65