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South Carolina rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.00 / $2,077.00 / $42,689.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,544.00 / $3,192.00 / $17,653.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,265.37 / $6,300.36 / $10,595.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,642.40 / $47,002.60 / $73,867.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,308.00 / $5,178.00 / $69,060.09