go back

New Mexico rates for MS-DRG 790

Extreme Immaturity Or Respiratory Distress Syndrome, Neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,717.50 / $99,606.60 / $137,794.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $31,799.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,490.58 / $53,491.50 / $96,082.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,243.19 / $51,800.57 / $96,082.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,036.00 / $61,063.52 / $102,798.78