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Georgia rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,286.14 / $100,000.00 / $173,780.08
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $9,549.93 / $22,908.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $74,131.02 / $120,226.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,608.30 / $83,176.38 / $186,208.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $75,857.76 / $138,038.43