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South Carolina rates for MS-DRG 790

Extreme Immaturity Or Respiratory Distress Syndrome, Neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.00 / $4,910.00 / $103,595.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,288.42 / $4,318.58 / $85,105.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,653.39 / $114,061.71 / $179,255.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,047.00 / $10,945.00 / $169,764.19