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Missouri rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,250.00 / $60,588.00 / $115,096.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,602.00 / $41,034.00 / $50,848.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,893.00 / $47,623.79 / $87,436.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,018.00 / $11,529.00 / $78,680.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.00 / $49,646.06 / $102,014.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,937.00 / $63,464.69 / $96,397.63