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Texas rates for MS-DRG 675

Other Kidney And Urinary Tract Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $22,544.00 / $37,210.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,030.00 / $24,468.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,093.06 / $23,144.00 / $43,267.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,740.70 / $48,680.83 / $48,680.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,438.00 / $20,517.50 / $47,323.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $18,383.68 / $42,029.69