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Texas rates for MS-DRG 257

Upper limb & toe amputation for circ system disorders w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $12,846.00 / $24,760.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,030.00 / $14,908.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,829.79 / $17,521.07 / $30,955.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,537.00 / $48,537.00 / $48,537.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,736.74 / $8,736.74 / $8,736.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,747.89 / $14,258.67 / $32,832.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.89 / $12,043.52 / $27,641.40