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Tennessee 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
$5,560.00 / $16,414.40 / $44,741.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.00 / $9,774.21 / $26,145.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.48 / $4,679.39 / $10,035.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,253.00 / $21,977.47 / $29,842.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,768.90 / $47,768.90 / $56,060.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.00 / $5,832.00 / $30,514.85