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Texas rates for MS-DRG 915

Allergic Reactions With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $25,029.00 / $38,121.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,860.92 / $24,860.92 / $24,860.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,027.00 / $25,270.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,438.22 / $22,773.91 / $40,657.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,020.10 / $54,048.69 / $54,048.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172,489.58 / $172,489.58 / $172,489.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.00 / $21,020.00 / $40,657.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $18,833.91 / $43,059.05