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Pennsylvania rates for MS-DRG 794

Neonate With Other Significant Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,115.00 / $22,824.80 / $32,950.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,345.20 / $13,162.84 / $16,038.85
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,890.80 / $4,130.34 / $26,020.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $19,726.88 / $31,118.30
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
$2,048.14 / $4,493.79 / $18,267.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,895.00 / $22,575.40 / $32,412.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,797.84 / $19,288.54 / $30,771.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $11,647.93 / $16,407.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $16,231.95 / $31,570.98