go back

Tennessee rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.00 / $22,307.30 / $60,803.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,826.00 / $2,826.00 / $35,579.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,345.49 / $4,781.07 / $9,541.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,392.00 / $29,411.97 / $40,348.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,917.05 / $64,917.05 / $76,185.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.00 / $5,832.00 / $41,469.85