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Idaho rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,553.00 / $21,553.00 / $21,553.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,867.06 / $85,758.74 / $89,591.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,215.21 / $41,495.39 / $48,442.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.00 / $31,207.90 / $51,044.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.00 / $4,303.00 / $34,533.72