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Nebraska 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
$2,839.00 / $18,965.40 / $35,909.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $18,076.07 / $34,021.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,705.00 / $20,536.07 / $37,053.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,705.00 / $29,195.64 / $43,041.94