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Michigan rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,113.11 / $53,703.18 / $70,794.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $13,489.63 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $64,565.42 / $64,565.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,884.42 / $51,286.14 / $67,608.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $64,565.42 / $64,565.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $36,307.81 / $61,659.50