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Indiana rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,175.00 / $107,405.00 / $148,588.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,092.58 / $92,822.10 / $143,626.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,810.96 / $89,152.50 / $204,462.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,201.71 / $84,682.99 / $124,409.34