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Utah 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
$3,725.00 / $22,448.20 / $34,185.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,107.00 / $2,642.00 / $26,562.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.00 / $2,373.00 / $29,125.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $2,394.00 / $17,243.45