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Missouri rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,250.00 / $24,967.10 / $47,428.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,952.00 / $4,428.00 / $37,015.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.00 / $19,624.54 / $36,030.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,491.00 / $8,156.00 / $32,422.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $20,458.16 / $42,038.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $14,722.14 / $39,723.57