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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
$21,877.62 / $31,622.78 / $70,794.58
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,884.37 / $58,884.37 / $58,884.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $7,244.36 / $33,113.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $33,884.42 / $52,480.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $33,113.11 / $56,234.13