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Pennsylvania rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,703.18 / $97,723.72 / $138,038.43
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $63,095.73 / $125,892.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,480.75 / $93,325.43 / $125,892.54
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $89,125.09 / $120,226.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,904.51 / $134,896.29 / $245,470.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,703.18 / $91,201.08 / $134,896.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,657.95 / $56,234.13 / $91,201.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $70,794.58 / $125,892.54