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Iowa rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,383.91 / $67,464.70 / $85,152.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61,069.46 / $61,069.46 / $62,127.41
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,770.00 / $67,583.53 / $104,278.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,317.00 / $71,880.69 / $104,278.71