go back

New York rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,874.00 / $81,640.20 / $205,908.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,051.00 / $119,811.49 / $252,053.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,355.00 / $131,815.06 / $217,888.71
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,895.00 / $49,378.60 / $171,398.65
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,992.00 / $137,369.50 / $216,694.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,200.00 / $91,012.82 / $198,832.36