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Indiana rates for MS-DRG 639

Diabetes Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,976.57 / $11,573.00 / $15,530.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,356.08 / $9,415.29 / $14,814.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,683.88 / $9,955.42 / $15,654.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,728.71 / $9,318.00 / $21,369.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,801.52 / $9,178.85 / $13,002.96