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Arkansas rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,551.00 / $22,620.80 / $45,971.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,554.75 / $22,005.25 / $25,157.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,886.96 / $22,966.15 / $31,717.14
Qualchoice
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,103.87 / $13,543.67 / $30,427.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.00 / $2,000.00 / $28,214.78