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California rates for MS-DRG 642

Inborn And Other Disorders Of Metabolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,142.00 / $27,098.10 / $43,941.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,938.53 / $20,712.71 / $47,680.57
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $17,493.12 / $36,373.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,756.16 / $27,399.60 / $49,892.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,650.08 / $32,889.15 / $38,598.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,781.01 / $23,887.01 / $49,993.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $22,021.22 / $45,083.41