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Missouri rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,250.00 / $41,377.40 / $78,602.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,451.07 / $29,451.07 / $29,451.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $32,523.85 / $59,713.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,491.00 / $8,156.00 / $53,733.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.00 / $33,904.83 / $69,668.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $24,398.65 / $65,832.92