go back

Texas rates for MS-DRG 395

Other Digestive System Diagnoses Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $9,166.00 / $14,712.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,265.69 / $11,467.47 / $12,574.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,690.00 / $9,498.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,572.31 / $9,151.00 / $15,736.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,091.60 / $19,792.04 / $19,792.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.00 / $9,974.45 / $21,841.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,730.67 / $8,112.50 / $15,736.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,115.20 / $7,268.80 / $16,618.29