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Maine rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.01 / $61,729.68 / $89,845.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,519.80 / $62,687.20 / $62,687.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,200.00 / $3,200.00 / $3,200.00