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Missouri rates for MS-DRG 642

Inborn And Other Disorders Of Metabolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $15,488.17 / $19,054.61
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $11,481.54 / $11,481.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $16,218.10 / $26,302.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151,356.12 / $151,356.12 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $18,620.87 / $25,703.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $17,782.79 / $28,183.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $16,218.10 / $24,547.09