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Texas rates for MS-DRG 301

Peripheral vascular disorders w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $10,274.00 / $16,315.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,831.75 / $11,151.11 / $11,789.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,753.00 / $10,524.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,981.43 / $9,603.68 / $17,102.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,554.60 / $22,186.74 / $22,186.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,540.00 / $1,540.00 / $10,719.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,357.83 / $8,895.49 / $17,400.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $9,602.24 / $18,214.16