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Texas rates for MS-DRG 495

Local excision & removal int fix devices exc hip & femur w MCC

Facilitymedian $47,863 · 10th–90th $21,380–$85,1140%10%10th90th$47,863$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $52,480.75 / $85,113.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $37,153.52 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $54,954.09 / $102,329.30
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128,824.96 / $128,824.96 / $128,824.96
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $48,977.88 / $85,113.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $43,651.58 / $109,647.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $34,673.69 / $75,857.76