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Virginia rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,858.00 / $34,306.69 / $79,580.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,769.00 / $50,017.96 / $82,988.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,981.00 / $7,348.00 / $76,836.87
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,157.00 / $63,034.00 / $86,376.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $7,245.00 / $107,831.39