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Wisconsin 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
$3,230.00 / $3,230.00 / $32,120.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.00 / $2,337.00 / $5,355.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $8,546.25 / $46,428.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,822.00 / $26,227.42 / $44,644.10
Network Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $1,639.00 / $1,907.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.95 / $18,179.22 / $26,056.15
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,534.06 / $1,717.49 / $30,153.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $25,230.80 / $40,814.42