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Louisiana rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,661.00 / $50,816.90 / $86,472.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,423.00 / $58,617.70 / $90,280.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,075.58 / $46,656.48 / $91,999.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $4,204.00 / $93,205.97