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Texas rates for MS-DRG 964

Other Multiple Significant Trauma With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $21,607.00 / $34,744.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84,500.00 / $84,500.00 / $84,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $2,690.00 / $20,546.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,791.87 / $23,451.85 / $38,506.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,501.90 / $46,653.11 / $46,653.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,180.93 / $7,180.93 / $14,523.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,678.46 / $19,418.04 / $44,186.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,564.13 / $19,517.66 / $39,084.37