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Tennessee rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,560.00 / $36,969.40 / $100,769.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,729.41 / $6,634.21 / $14,543.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,832.47 / $29,035.58 / $47,682.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,392.00 / $48,245.27 / $66,762.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107,587.35 / $107,587.35 / $126,262.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.00 / $6,180.00 / $68,726.99