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Maine rates for MS-DRG 642

Inborn And Other Disorders Of Metabolism

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $28,183.83 / $33,113.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $21,877.62 / $42,657.95
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $19,952.62 / $19,952.62