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New Jersey rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,101.00 / $97,824.10 / $160,047.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,389.45 / $8,740.02 / $180,266.36
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,181.00 / $84,883.00 / $146,276.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,534.00 / $15,000.00 / $154,067.41