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Ohio 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
$18,620.87 / $25,703.96 / $40,738.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $21,877.62 / $33,884.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $19,952.62 / $38,904.51
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $5,754.40 / $22,908.68
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $16,982.44 / $28,840.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $26,302.68 / $38,018.94