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Virginia rates for MS-DRG 642

Inborn And Other Disorders Of Metabolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,916.10 / $24,637.90 / $27,881.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,833.30 / $20,922.46 / $28,257.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,313.44 / $20,245.02 / $29,485.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,926.00 / $19,978.29 / $29,472.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $28,474.71 / $37,897.54