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Iowa rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.00 / $27,800.90 / $35,089.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,165.53 / $25,165.53 / $25,601.49
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $27,849.85 / $42,971.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,239.00 / $29,030.37 / $45,547.77