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Texas rates for MS-DRG 839

Chemotherapy with acute leukemia as secondary diagnosis without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $19,736.00 / $32,733.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,732.25 / $20,160.43 / $22,056.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.00 / $2,767.00 / $20,628.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,626.91 / $21,658.50 / $40,403.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,037.60 / $42,619.44 / $42,619.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,640.72 / $35,640.72 / $35,640.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,701.00 / $18,294.21 / $43,405.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,184.22 / $18,388.07 / $39,483.44