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Iowa rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.06 / $46,073.70 / $58,153.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,706.23 / $41,706.23 / $42,428.73
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,640.00 / $46,154.89 / $71,215.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.70 / $48,111.33 / $75,485.22