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New Jersey rates for MS-DRG 789

Neonates, died or transferred to another acute care facility

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,294.00 / $29,662.40 / $48,529.60
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,542.61 / $5,542.61 / $5,542.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,426.00 / $8,740.02 / $54,660.73
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,181.00 / $25,740.00 / $44,358.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,211.00 / $9,186.00 / $48,486.39