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Delaware rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76,138.00 / $76,138.00 / $76,138.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117,021.57 / $117,021.57 / $117,021.57
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123,941.64 / $185,142.49 / $226,865.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,200.00 / $3,200.00 / $3,200.00