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New York rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $87,096.36 / $158,489.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $104,712.85 / $204,173.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,183.10 / $107,151.93 / $158,489.32
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $85,113.80 / $251,188.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $72,443.60 / $138,038.43