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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
$48,977.88 / $77,624.71 / $104,712.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $22,908.68 / $169,824.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93,325.43 / $93,325.43 / $93,325.43
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $74,131.02 / $97,723.72
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93,325.43 / $93,325.43 / $93,325.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $53,703.18 / $89,125.09