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Texas rates for MS-DRG 916

Allergic Reactions Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $9,564.00 / $15,105.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,893.52 / $12,893.52 / $17,252.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,569.00 / $9,598.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,720.85 / $8,995.04 / $16,109.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,617.90 / $20,653.50 / $20,653.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $1,800.00 / $35,770.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,861.00 / $8,328.75 / $16,109.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,198.24 / $7,462.56 / $17,061.28