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Texas rates for MS-DRG 658

Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $21,661.00 / $35,179.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,135.57 / $19,135.57 / $19,135.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.00 / $2,870.00 / $22,919.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,570.49 / $23,277.00 / $42,221.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,576.00 / $46,774.40 / $46,774.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,756.31 / $40,219.06 / $41,750.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,650.00 / $19,661.31 / $46,180.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,990.22 / $19,707.00 / $40,528.36