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Texas rates for MS-DRG 515

Other musculoskelet sys & conn tiss O.R. proc w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $28,712.00 / $72,247.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128,098.36 / $128,098.36 / $128,098.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,990.00 / $47,303.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,828.00 / $42,525.99 / $84,006.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,755.60 / $96,173.64 / $96,173.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162,339.28 / $162,339.28 / $162,339.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,120.00 / $38,606.11 / $91,881.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,649.49 / $38,963.04 / $70,988.20