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Louisiana rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,354.00 / $34,704.40 / $59,054.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,406.43 / $42,406.43 / $50,942.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,423.00 / $40,032.58 / $61,656.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,588.34 / $31,863.15 / $62,829.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,959.00 / $63,405.64