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Tennessee rates for MS-DRG 642

Inborn And Other Disorders Of Metabolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,884.50 / $20,063.00 / $35,305.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,256.00 / $5,256.00 / $8,568.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,547.19 / $7,730.45 / $12,788.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,810.80 / $18,442.37 / $25,535.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,889.15 / $32,889.15 / $38,598.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $17,484.72 / $24,974.92