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Arizona 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
$1,473.00 / $2,558.00 / $33,818.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,778.37 / $26,778.37 / $26,778.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,754.32 / $18,617.04 / $31,111.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,029.00 / $27,400.65 / $52,555.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,048.00 / $3,153.00 / $44,618.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $27,011.37 / $44,618.87