go back

Oklahoma rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,245.30 / $26,451.40 / $40,323.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,536.94 / $23,536.94 / $32,894.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,091.76 / $25,062.99 / $40,255.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,164.72 / $25,618.63 / $45,579.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $16,874.99 / $44,972.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $3,308.00 / $43,661.89