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Ohio rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,525.00 / $28,917.70 / $46,608.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,815.46 / $32,815.46 / $36,698.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,308.00 / $27,588.52 / $45,422.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,267.00 / $20,711.68 / $44,088.05
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.50 / $8,563.84 / $37,516.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $20,769.22 / $51,533.62