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Texas rates for MS-DRG 493

Lower extrem & humer proc except hip, foot, femur w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $29,451.70 / $57,493.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,404.66 / $31,084.39 / $47,414.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.00 / $2,690.00 / $33,232.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,065.00 / $34,237.35 / $66,851.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,619.00 / $74,671.10 / $74,671.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,737.42 / $98,511.40 / $345,014.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,556.85 / $31,346.20 / $73,118.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,702.00 / $25,634.90 / $50,843.73