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Washington rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97,723.72 / $147,910.84 / $245,470.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61,659.50 / $102,329.30 / $194,984.46
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,543.99 / $95,499.26 / $100,000.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,608.30 / $93,325.43 / $158,489.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,095.73 / $117,489.76 / $162,181.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,708.82 / $131,825.67 / $186,208.71