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Texas rates for MS-DRG 256

Upper Limb And Toe Amputation For Circulatory System Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $24,074.50 / $38,491.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,030.00 / $24,492.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,281.10 / $25,981.27 / $46,196.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,537.00 / $52,674.07 / $52,674.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,018.57 / $22,018.57 / $22,018.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,153.76 / $22,166.08 / $49,700.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $19,016.48 / $43,476.43