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Utah rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,825.00 / $50,558.90 / $76,995.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,893.00 / $3,626.00 / $59,825.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,582.00 / $4,405.00 / $65,596.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $3,426.00 / $38,836.51