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Michigan rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,206.30 / $54,680.20 / $84,421.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,330.22 / $21,360.60 / $167,036.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,337.69 / $103,164.74 / $147,293.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,206.30 / $55,928.30 / $89,431.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,200.00 / $45,848.16 / $89,467.51