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New Jersey rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,101.00 / $66,807.10 / $109,301.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,565.00 / $8,740.02 / $123,109.47
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
$4,698.00 / $57,971.00 / $97,242.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,340.00 / $10,874.00 / $109,203.34