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California rates for MS-DRG 390

Neonate W Other Significant Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,031.47 / $14,057.50 / $20,968.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,838.91 / $6,838.91 / $9,595.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,468.18 / $13,247.00 / $21,216.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $8,240.62 / $17,406.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,988.05 / $13,456.38 / $21,059.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,986.40 / $14,500.80 / $17,017.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,813.42 / $10,633.57 / $21,235.00
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,251.00 / $12,251.00 / $12,251.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,184.00 / $10,134.00 / $17,245.89