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Ohio rates for MS-DRG 639

Diabetes Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,444.20 / $8,794.95 / $12,169.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,295.97 / $6,819.89 / $9,150.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,264.69 / $8,175.87 / $12,386.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,253.18 / $7,664.37 / $12,596.69
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,782.13 / $7,664.37 / $12,148.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,969.60 / $9,936.09 / $13,527.25