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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
$1,749.06 / $42,714.70 / $80,877.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,152.87 / $25,152.87 / $25,152.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,580.00 / $40,711.76 / $76,625.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $46,252.31 / $83,453.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $65,755.80 / $96,941.10