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Texas rates for MS-DRG 295

Deep Vein Thrombophlebitis without CC/MCC

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $3,783.71 / $12,996.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,006.20 / $24,562.78 / $24,562.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,957.92 / $5,957.92 / $5,957.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,077.60 / $7,014.48 / $38,000.00