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Arizona rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,151.00 / $4,365.00 / $111,530.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,912.36 / $101,742.12 / $170,026.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,029.00 / $90,364.97 / $173,324.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,705.00 / $9,715.00 / $156,094.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,461.00 / $74,734.00 / $149,728.65