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Indiana rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,175.00 / $44,259.50 / $61,230.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,246.58 / $23,706.00 / $36,635.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,609.59 / $38,134.47 / $59,184.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,586.52 / $36,738.00 / $84,254.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,583.00 / $35,660.35 / $52,172.86