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Alaska rates for MS-DRG 642

Inborn And Other Disorders Of Metabolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,567.00 / $37,433.90 / $76,055.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,219.62 / $57,219.62 / $60,794.78
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $22,113.66 / $30,446.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $19,299.11 / $60,794.78