go back

Nebraska rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,977.88 / $97,723.72 / $123,026.88
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $22,908.68 / $45,708.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,480.75 / $60,255.96 / $112,201.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,703.18 / $102,329.30 / $141,253.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,981.07 / $95,499.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,863.01 / $102,329.30 / $141,253.75