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New York rates for MS-DRG 639

Diabetes Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $11,748.98 / $23,988.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $20,417.38 / $25,703.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $16,595.87 / $20,892.96
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $15,488.17 / $38,904.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $13,803.84 / $20,892.96