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Pennsylvania rates for MS-DRG 642

Inborn And Other Disorders Of Metabolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,418.90 / $23,249.90 / $31,749.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,990.32 / $12,990.32 / $12,990.32
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,637.00 / $21,224.85 / $31,803.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,316.81 / $20,845.14 / $30,760.02
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,433.36 / $23,433.36 / $28,454.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,530.59 / $25,595.69 / $39,701.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,824.50 / $22,753.60 / $31,419.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,586.69 / $19,198.34 / $29,649.36
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $9,871.26 / $13,794.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,614.19 / $17,925.57 / $32,514.89