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Texas rates for MS-DRG 642

Inborn And Other Disorders Of Metabolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $17,876.00 / $32,239.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,374.69 / $17,839.89 / $18,726.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,027.00 / $18,929.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,210.15 / $19,259.50 / $34,383.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,580.90 / $38,598.21 / $38,598.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,509.00 / $17,776.25 / $34,383.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $15,927.52 / $36,266.39