go back

Texas rates for MS-DRG 492

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $42,638.30 / $83,235.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,000.00 / $41,246.12 / $42,777.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,914.00 / $51,626.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,372.80 / $49,566.60 / $96,783.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,472.80 / $110,442.32 / $110,442.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,681.43 / $58,681.43 / $58,681.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,208.60 / $45,380.98 / $105,855.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,496.00 / $30,290.70 / $74,529.81