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North Carolina rates for MS-DRG 642

Inborn And Other Disorders Of Metabolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $5,100.00 / $20,926.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,817.49 / $14,817.49 / $16,228.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.36 / $16,529.07 / $25,178.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,797.21 / $20,805.32 / $27,800.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,006.00 / $22,058.19 / $33,353.93