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North Dakota rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74,131.02 / $74,131.02 / $74,131.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,095.73 / $74,131.02 / $208,929.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,810.72 / $43,651.58 / $102,329.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,810.72 / $79,432.82 / $100,000.00