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Texas rates for MS-DRG 494

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $23,301.50 / $45,487.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,849.16 / $24,277.19 / $34,990.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.00 / $2,690.00 / $26,276.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,476.13 / $26,774.74 / $52,891.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,822.60 / $58,635.94 / $58,635.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,705.66 / $61,389.96 / $148,204.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,649.00 / $24,306.74 / $57,849.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,679.00 / $22,073.51 / $40,729.94