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Virginia 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
$19,952.62 / $32,359.37 / $36,307.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $33,884.42 / $47,863.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $28,840.32 / $37,153.52
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $26,915.35 / $38,904.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $30,902.95 / $47,863.01