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Florida rates for MS-DRG 790

Extreme Immaturity Or Respiratory Distress Syndrome, Neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,664.00 / $87,428.90 / $198,721.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.00 / $20,000.00 / $43,979.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,969.00 / $68,825.73 / $140,860.95
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,784.22 / $94,584.86 / $176,014.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,720.00 / $8,831.00 / $133,395.91