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Oklahoma rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,142.40 / $64,189.80 / $97,853.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,105.08 / $58,477.74 / $95,956.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,227.10 / $62,169.01 / $110,608.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $40,950.72 / $109,134.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $36,849.69 / $109,134.55