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Washington rates for MS-DRG 794

Neonate With Other Significant Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,336.00 / $36,063.30 / $61,133.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,979.68 / $9,381.85 / $26,965.75
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,798.75 / $5,511.56 / $23,689.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.00 / $26,667.67 / $44,314.97
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $6,268.08 / $30,984.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,380.78 / $7,922.00 / $22,884.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,900.00 / $4,900.00 / $6,466.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $9,763.08 / $38,944.57