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Massachusetts rates for MS-DRG 790

Extreme Immaturity Or Respiratory Distress Syndrome, Neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,712.90 / $92,718.60 / $121,057.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,105.00 / $8,963.00 / $99,619.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,374.13 / $56,350.32 / $132,551.94
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123,018.56 / $123,018.56 / $123,018.56
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75,482.45 / $87,268.41 / $134,762.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,105.00 / $8,963.00 / $99,619.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,105.00 / $8,173.00 / $97,960.77