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Texas rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,542.29 / $77,624.71 / $128,824.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,512.09 / $63,095.73 / $104,712.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,863.01 / $89,125.09 / $177,827.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199,526.23 / $199,526.23 / $199,526.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,542.29 / $57,543.99 / $128,824.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $72,443.60 / $177,827.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $57,543.99 / $141,253.75