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Texas rates for MS-DRG 872

Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $14,849.00 / $23,198.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,507.24 / $15,201.92 / $19,442.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.00 / $2,765.00 / $15,003.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,948.76 / $15,349.50 / $27,302.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,589.00 / $27,321.50 / $32,064.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,973.20 / $22,868.00 / $102,661.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,035.74 / $12,965.21 / $30,334.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $13,031.73 / $28,058.89