go back

Texas rates for MS-DRG 475

Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $31,069.00 / $51,590.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,465.19 / $31,870.27 / $39,393.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,030.00 / $33,019.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,933.82 / $30,819.81 / $59,987.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,988.69 / $67,092.03 / $67,092.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,960.35 / $21,960.35 / $222,783.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,017.00 / $28,127.65 / $65,610.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $25,487.84 / $58,271.57