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Texas rates for MS-DRG 397

Appendix Procedures With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $30,901.40 / $54,292.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,641.27 / $25,641.27 / $30,040.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.00 / $2,308.00 / $37,437.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,562.61 / $33,768.00 / $63,129.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,146.97 / $29,936.25 / $69,047.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $26,822.88 / $61,323.81