go back

Rhode Island rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89,125.09 / $141,253.75 / $141,253.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95,499.26 / $162,181.01 / $162,181.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $10,232.93 / $87,096.36