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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
$8,709.64 / $12,302.69 / $19,952.62
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $10,232.93 / $10,232.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,120.11 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $12,882.50 / $23,988.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,902.95 / $30,902.95 / $30,902.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $12,022.64 / $19,952.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $11,220.18 / $25,703.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $10,471.29 / $23,442.29