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Oregon rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74,293.80 / $141,515.00 / $170,876.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,100.00 / $125,716.91 / $219,344.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92,257.20 / $112,447.32 / $129,071.34
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,200.00 / $80,571.67 / $99,999.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,135.00 / $116,510.65 / $184,203.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65,440.59 / $110,751.62 / $127,952.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $116,516.37 / $159,416.56