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Maine rates for MS-DRG 789

Neonates, died or transferred to another acute care facility

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.01 / $27,408.04 / $39,891.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,986.84 / $27,833.18 / $27,833.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $1,850.00 / $1,850.00