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Indiana rates for MS-DRG 794

Neonate With Other Significant Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,175.00 / $26,671.00 / $36,897.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,683.00 / $10,237.25 / $22,341.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,913.61 / $23,049.38 / $35,664.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,610.75 / $22,138.50 / $50,772.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,993.00 / $21,489.10 / $31,439.62