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Indiana rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,175.00 / $73,350.20 / $101,475.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,612.00 / $35,612.00 / $35,612.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,554.03 / $63,391.27 / $98,087.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,432.10 / $60,885.00 / $139,633.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,233.00 / $59,099.04 / $86,010.21