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Texas rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $27,716.00 / $44,483.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,412.07 / $31,412.07 / $31,412.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,027.00 / $27,775.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,847.45 / $26,489.70 / $47,442.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,561.69 / $59,845.73 / $59,845.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,703.90 / $79,126.23 / $86,443.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,326.23 / $24,527.50 / $47,442.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $21,976.64 / $50,244.09