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Texas rates for MS-DRG 696

Kidney and urinary tract signs and symptoms without MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $9,963.00 / $15,619.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,697.25 / $10,087.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,915.75 / $9,331.12 / $16,658.64
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,144.20 / $21,514.98 / $21,514.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,781.00 / $11,781.00 / $64,480.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,083.87 / $8,612.50 / $16,658.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,307.20 / $7,716.80 / $17,642.53