go back

Arizona rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,703.18 / $81,283.05 / $114,815.36
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $11,748.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $38,018.94 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $63,095.73 / $128,824.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $58,884.37 / $107,151.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $46,773.51 / $107,151.93