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Texas rates for MS-DRG 616

Amputat of lower limb for endocrine, nutrit, & metabol dis w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,113.11 / $50,118.72 / $81,283.05
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,657.95 / $42,657.95 / $50,118.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $38,904.51 / $67,608.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,902.95 / $52,480.75 / $97,723.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125,892.54 / $125,892.54 / $125,892.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $46,773.51 / $81,283.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,902.95 / $42,657.95 / $104,712.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $42,657.95 / $95,499.26