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Alaska rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,695.00 / $72,148.70 / $155,350.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163,317.92 / $163,317.92 / $173,522.25
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $63,117.45 / $99,602.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $63,134.56 / $173,522.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,200.00 / $3,200.00 / $3,200.00