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Texas rates for MS-DRG 866

Viral illness w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $12,742.00 / $19,713.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,335.60 / $13,335.60 / $16,377.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,765.57 / $12,757.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,466.39 / $12,261.00 / $21,025.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,811.20 / $27,517.28 / $27,517.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,690.44 / $14,453.56 / $24,948.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,649.00 / $10,870.00 / $21,025.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $9,739.52 / $22,266.98