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Texas rates for MS-DRG 847

Chemotherapy w/o acute leukemia as secondary diagnosis w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $19,641.30 / $29,656.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,939.01 / $19,571.73 / $30,033.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.00 / $2,767.00 / $18,995.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,449.37 / $19,841.47 / $35,593.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,143.30 / $39,518.76 / $39,518.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,870.80 / $24,870.80 / $24,870.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,551.41 / $17,078.55 / $38,930.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,101.97 / $14,651.84 / $33,497.76