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California rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,401.85 / $90,246.40 / $153,586.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,836.00 / $84,552.89 / $165,752.91
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,635.00 / $12,493.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72,967.28 / $100,676.95 / $210,340.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108,492.60 / $157,537.20 / $184,883.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,652.57 / $82,745.41 / $184,474.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,990.00 / $9,049.00 / $154,489.40