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Texas rates for MS-DRG 383

Uncomplicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $19,952.62 / $32,359.37
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $20,417.38 / $20,417.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $13,803.84 / $23,442.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $20,417.38 / $37,153.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $50,118.72 / $50,118.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $18,197.01 / $32,359.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $18,197.01 / $41,686.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $16,595.87 / $38,018.94