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California rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,401.85 / $37,188.80 / $63,289.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,014.00 / $2,014.00 / $2,014.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,362.00 / $34,842.08 / $68,302.53
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,454.00 / $19,412.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,068.07 / $41,487.00 / $86,677.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,707.03 / $64,917.05 / $76,185.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,994.44 / $34,097.76 / $76,018.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.00 / $6,769.00 / $58,817.54