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Indiana 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
$5,175.00 / $32,567.60 / $45,055.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,800.00 / $25,800.00 / $42,761.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,217.01 / $28,145.79 / $43,550.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,619.89 / $27,033.00 / $61,997.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,523.00 / $26,240.03 / $38,390.46