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Illinois rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,471.40 / $30,529.30 / $46,458.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,528.28 / $25,528.28 / $27,322.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,078.88 / $27,105.53 / $40,245.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,880.88 / $26,941.20 / $53,882.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $283.13 / $487.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,766.00 / $26,666.89 / $45,753.51