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Texas rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $12,525.00 / $19,378.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,704.95 / $13,863.22 / $18,987.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,899.00 / $13,016.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,339.31 / $12,053.00 / $21,104.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,522.40 / $27,044.56 / $27,044.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,749.14 / $4,749.14 / $82,249.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,547.88 / $10,685.00 / $21,104.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $9,573.76 / $21,888.01