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Alaska rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,695.00 / $43,534.50 / $93,738.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98,546.01 / $98,546.01 / $104,703.30
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $38,085.06 / $60,098.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $38,094.39 / $104,703.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $1,850.00 / $1,850.00