go back

Texas rates for MS-DRG 642

Inborn And Other Disorders Of Metabolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $20,417.38 / $33,113.11
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $22,387.21 / $30,902.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $13,489.63 / $23,442.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $20,892.96 / $38,904.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,286.14 / $51,286.14 / $51,286.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $17,782.79 / $33,113.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $18,620.87 / $42,657.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $17,378.01 / $38,904.51