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Texas rates for MS-DRG 639

Diabetes Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $9,025.00 / $14,082.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,971.32 / $10,082.40 / $12,540.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,587.00 / $9,034.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,333.62 / $8,759.00 / $16,054.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,905.40 / $19,487.25 / $19,487.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,335.69 / $21,553.70 / $27,010.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,464.00 / $7,765.00 / $16,974.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,981.76 / $6,957.44 / $15,906.45