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Arizona rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,473.00 / $2,558.00 / $45,959.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.00 / $10,418.67 / $36,167.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,734.01 / $15,651.24 / $26,280.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,029.00 / $37,237.64 / $71,423.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,048.00 / $3,153.00 / $64,323.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $36,708.61 / $64,323.34