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Texas rates for MS-DRG 583

Mastectomy for malignancy w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $23,657.00 / $39,092.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,756.39 / $17,756.39 / $23,448.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.00 / $2,870.00 / $23,622.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,657.40 / $25,576.30 / $46,917.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,211.30 / $51,087.97 / $51,087.97
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,737.13 / $18,584.29 / $25,738.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,168.00 / $21,555.00 / $51,316.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,432.00 / $18,970.12 / $43,975.65