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North Carolina rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,255.96 / $75,857.76 / $117,489.76
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,481.34 / $35,481.34 / $35,481.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $60,255.96 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66,069.34 / $91,201.08 / $114,815.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,668.36 / $83,176.38 / $128,824.96