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Idaho rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,719.19 / $35,719.19 / $35,719.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107,502.62 / $142,125.89 / $148,478.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66,218.94 / $77,115.64 / $83,340.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.00 / $51,721.17 / $84,597.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.00 / $4,343.00 / $57,231.90