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Pennsylvania rates for MS-DRG 793

Full Term Neonate With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,668.00 / $63,778.20 / $92,123.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,937.75 / $22,937.75 / $22,937.75
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,765.00 / $8,192.64 / $69,312.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,845.00 / $55,730.87 / $87,914.14
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,708.00 / $4,708.00 / $4,708.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,835.19 / $18,486.25 / $61,930.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,825.00 / $63,719.80 / $91,568.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,854.99 / $54,492.50 / $86,931.99
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $31,889.48 / $46,354.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,000.00 / $46,782.91 / $91,497.70