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Wisconsin rates for MS-DRG 642

Inborn And Other Disorders Of Metabolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,385.50 / $21,385.50 / $25,346.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,524.26 / $22,004.70 / $32,917.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,490.74 / $21,648.49 / $36,832.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,648.66 / $25,108.31 / $41,098.69
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.95 / $12,556.21 / $19,894.83
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,807.41 / $24,805.95 / $29,153.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,071.18 / $26,459.17 / $33,353.93