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Kansas rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,853.00 / $63,328.00 / $115,096.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,474.01 / $4,432.57 / $49,971.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,018.00 / $51,744.11 / $83,607.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,725.00 / $48,802.08 / $129,467.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,838.00 / $59,435.00 / $102,662.08