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New Jersey rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,294.00 / $40,311.40 / $65,952.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,426.00 / $8,740.02 / $74,284.24
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
$3,733.00 / $34,979.00 / $60,277.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,211.00 / $9,186.00 / $65,893.28