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Arizona rates for MS-DRG 794

Neonate With Other Significant Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,473.00 / $2,558.00 / $27,695.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,847.00 / $10,620.30 / $18,506.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.65 / $5,217.93 / $8,761.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,433.49 / $29,342.37 / $43,040.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,048.00 / $3,153.00 / $38,761.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $22,120.79 / $38,761.56