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Virginia rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,493.00 / $50,234.50 / $116,528.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,896.00 / $73,239.92 / $121,517.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,981.00 / $7,348.00 / $112,510.46
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,157.00 / $92,297.00 / $126,478.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,582.00 / $67,131.83 / $157,895.01