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Texas rates for MS-DRG 399

Appendix Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $14,770.10 / $25,950.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,412.12 / $16,385.25 / $22,213.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.00 / $2,308.00 / $17,567.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,828.39 / $16,140.00 / $30,174.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,107.70 / $14,308.75 / $33,002.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,464.33 / $12,820.64 / $29,311.19