go back

Ohio rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,585.00 / $70,174.89 / $113,105.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107,633.26 / $107,633.26 / $107,633.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $66,950.33 / $110,228.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,858.00 / $50,261.27 / $106,988.94
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $56,368.15 / $122,688.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,200.00 / $69,134.78 / $125,057.18