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Ohio rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,585.00 / $47,924.60 / $77,242.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.00 / $45,722.59 / $75,278.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,122.00 / $34,324.97 / $73,066.06
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,122.00 / $36,415.01 / $73,066.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,375.00 / $37,825.82 / $85,405.42