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Texas rates for MS-DRG 489

Knee procedures w/o pdx of infection w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $16,193.60 / $25,317.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,985.24 / $18,985.24 / $18,985.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,030.00 / $19,358.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,291.78 / $16,752.00 / $33,572.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,529.60 / $38,514.24 / $38,514.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,957.86 / $35,957.86 / $35,957.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,861.34 / $14,579.82 / $33,572.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,360.64 / $14,900.35 / $27,786.00