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Texas rates for MS-DRG 617

Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $27,829.00 / $42,399.70
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,790.04 / $25,942.26 / $37,011.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,030.00 / $29,437.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,058.40 / $26,371.00 / $49,301.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,700.40 / $60,072.76 / $60,072.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,196.46 / $14,196.46 / $14,196.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,514.75 / $23,378.75 / $53,922.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $20,947.36 / $47,890.90