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Alaska rates for MS-DRG 789

Neonates, died or transferred to another acute care facility

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,575.00 / $32,034.10 / $68,975.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72,513.32 / $72,513.32 / $77,044.05
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $28,024.21 / $44,223.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $28,031.99 / $77,044.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $1,850.00 / $1,850.00