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Texas rates for MS-DRG 623

Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $26,933.60 / $40,667.69
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,295.82 / $25,852.85 / $33,807.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,030.00 / $28,005.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,402.43 / $25,294.00 / $47,287.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,343.19 / $59,488.08 / $59,488.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98,751.75 / $98,751.75 / $98,751.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,840.14 / $22,423.75 / $51,719.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,399.84 / $22,845.32 / $49,188.74