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Texas rates for MS-DRG 194

Simple pneumonia & pleurisy w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $11,810.00 / $18,269.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,317.24 / $13,821.20 / $16,197.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,914.00 / $12,678.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,919.46 / $11,226.99 / $20,827.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,580.00 / $25,502.00 / $25,502.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,705.30 / $8,124.05 / $36,322.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,119.32 / $10,073.75 / $22,599.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $9,026.08 / $20,635.88