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Texas rates for MS-DRG 381

Complicated peptic ulcer w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $15,686.00 / $24,562.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,690.36 / $16,078.14 / $17,807.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,027.00 / $15,702.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,302.93 / $15,277.00 / $26,196.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,692.90 / $33,871.01 / $33,871.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,653.05 / $25,063.90 / $101,784.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,567.31 / $13,543.75 / $26,196.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,469.43 / $12,135.20 / $27,631.42