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Texas rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $76,689.00 / $134,739.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,690.00 / $48,000.00 / $261,730.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.00 / $2,208.00 / $9,024.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,066.00 / $49,396.43 / $139,999.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108,492.60 / $157,537.20 / $184,883.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,088.85 / $104,457.07 / $769,224.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,311.00 / $59,435.00 / $143,701.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $6,906.00 / $77,592.39