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Texas rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,585.00 / $52,373.30 / $92,017.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,123.78 / $26,170.00 / $46,315.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.00 / $2,208.00 / $8,605.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,274.00 / $33,734.35 / $95,609.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74,093.17 / $107,587.35 / $126,262.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,698.00 / $24,126.99 / $384,129.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,095.00 / $40,590.00 / $98,138.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $4,616.00 / $50,818.68