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Nebraska rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,113.11 / $66,069.34 / $85,113.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,307.81 / $40,738.03 / $75,857.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,307.81 / $69,183.10 / $97,723.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,570.40 / $64,565.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,359.37 / $69,183.10 / $97,723.72