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Texas rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,915.00 / $31,602.00 / $55,523.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,000.00 / $8,000.00 / $33,481.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.00 / $2,208.00 / $8,940.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,617.00 / $20,355.30 / $57,690.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,707.03 / $64,917.05 / $76,185.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,703.76 / $3,268.20 / $6,809.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,033.00 / $24,492.00 / $59,216.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $3,732.00 / $30,663.98