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Louisiana 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
$10,813.20 / $15,408.80 / $26,220.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,423.00 / $17,774.62 / $27,375.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,029.24 / $14,147.27 / $27,896.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.00 / $2,600.00 / $28,152.17