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Iowa 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
$3,535.91 / $20,456.80 / $25,820.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,517.61 / $18,517.61 / $18,838.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $20,492.82 / $31,619.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,239.00 / $21,361.48 / $33,515.51