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Connecticut rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,844.00 / $104,404.00 / $153,342.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,446.00 / $113,795.36 / $162,411.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,306.00 / $6,761.00 / $126,816.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,517.00 / $134,138.85 / $169,502.68