go back

Illinois rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,531.60 / $74,085.70 / $112,742.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,160.39 / $65,776.30 / $97,667.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,818.44 / $65,378.50 / $130,757.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.61 / $687.07 / $1,222.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,760.00 / $71,999.56 / $107,321.78