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Tennessee rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,133.00 / $54,133.40 / $147,553.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,026.00 / $21,026.00 / $21,026.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,873.24 / $41,143.64 / $90,059.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,253.00 / $70,644.44 / $97,758.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157,537.20 / $157,537.20 / $184,883.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,572.00 / $7,904.00 / $103,898.32