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South Carolina rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.00 / $2,960.00 / $70,748.39
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,348.30 / $20,348.30 / $20,348.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,686.27 / $3,356.11 / $38,580.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,153.80 / $77,896.27 / $122,419.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $7,832.00 / $114,451.62