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Idaho rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,302.80 / $52,302.80 / $52,302.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157,413.60 / $208,111.65 / $217,413.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95,534.57 / $111,255.32 / $122,034.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.00 / $75,733.25 / $123,872.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,150.00 / $5,017.00 / $83,803.35