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Texas rates for MS-DRG 693

Urinary stones with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $19,063.70 / $30,479.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,319.41 / $21,319.41 / $21,319.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,027.00 / $20,819.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,053.00 / $17,833.45 / $31,950.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,937.60 / $45,729.44 / $45,729.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,826.00 / $16,287.27 / $32,507.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,453.60 / $14,364.64 / $29,948.74