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Texas rates for MS-DRG 871

Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $28,263.00 / $44,036.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,039.35 / $26,300.10 / $35,406.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.00 / $2,767.00 / $28,062.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,987.16 / $28,987.93 / $46,965.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,279.90 / $51,995.65 / $61,021.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,591.49 / $39,054.94 / $113,983.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,152.28 / $24,611.48 / $46,965.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $21,756.00 / $49,739.66