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South Carolina 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
$679.00 / $1,833.00 / $31,412.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,392.00 / $3,392.00 / $14,881.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,526.16 / $6,393.23 / $17,130.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,604.33 / $34,586.01 / $54,354.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,308.00 / $5,178.00 / $50,816.63