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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
$25,409.30 / $37,342.80 / $57,654.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,868.00 / $7,868.00 / $7,868.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,272.19 / $12,330.51 / $53,773.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,503.09 / $38,268.51 / $53,434.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,409.30 / $38,195.19 / $61,075.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,788.00 / $12,982.00 / $61,100.13