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California rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,401.85 / $61,632.10 / $104,889.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,884.00 / $57,743.95 / $113,198.13
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,587.00 / $10,684.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,834.58 / $68,755.39 / $143,648.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74,093.17 / $107,587.35 / $126,262.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,265.64 / $56,509.40 / $125,983.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,147.00 / $7,923.00 / $97,476.89