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California rates for MS-DRG 794

Neonate With Other Significant Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,206.95 / $22,410.10 / $38,138.69
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.00 / $5,040.89 / $16,607.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,362.00 / $20,995.99 / $40,520.21
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,309.00 / $9,506.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,118.09 / $25,000.27 / $52,232.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,940.65 / $39,119.30 / $45,909.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,947.54 / $20,644.43 / $45,808.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.00 / $6,769.00 / $35,443.74