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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
$4,804.00 / $52,359.80 / $79,059.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,910.00 / $56,663.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,642.90 / $48,582.97 / $91,927.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73,435.00 / $120,201.50 / $120,201.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61,613.66 / $61,613.66 / $61,613.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,793.74 / $43,104.26 / $100,545.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $39,058.87 / $89,298.36