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Texas rates for MS-DRG 903

Wound Debridements For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $16,982.44 / $27,542.29
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $19,498.45 / $19,498.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $12,302.69 / $21,379.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $18,620.87 / $33,113.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,686.94 / $41,686.94 / $41,686.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $15,848.93 / $27,542.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $15,135.61 / $35,481.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $14,454.40 / $32,359.37