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Washington 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
$27,988.20 / $44,640.50 / $78,612.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,953.32 / $3,953.32 / $4,736.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,628.11 / $27,633.05 / $47,768.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.00 / $33,333.49 / $59,112.16
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,200.00 / $25,471.60 / $37,840.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $24,993.79 / $39,863.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $31,062.62 / $47,058.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $11,921.55 / $47,554.65