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Texas rates for MS-DRG 240

Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,404.00 / $38,595.80 / $64,620.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,198.64 / $34,681.06 / $49,588.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,027.00 / $41,644.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,313.00 / $38,604.32 / $75,139.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,147.65 / $77,173.30 / $90,569.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,170.00 / $33,170.00 / $33,170.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,229.25 / $35,232.18 / $82,182.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $31,925.60 / $72,989.89