go back

Nebraska rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.79 / $25,774.10 / $48,801.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $24,565.48 / $46,236.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,705.00 / $27,908.63 / $50,355.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,705.00 / $39,677.04 / $58,494.24