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California 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
$6,401.85 / $27,364.70 / $46,570.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $1,660.00 / $12,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,362.00 / $25,638.37 / $49,479.56
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,503.00 / $10,684.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,127.17 / $30,527.47 / $63,779.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,897.44 / $47,768.90 / $56,060.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,566.00 / $24,789.36 / $55,936.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.00 / $6,769.00 / $43,279.83