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Vermont rates for MS-DRG 790

Extreme Immaturity Or Respiratory Distress Syndrome, Neonate

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,024.85 / $126,762.97 / $167,957.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71,304.17 / $94,020.23 / $164,248.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71,304.17 / $94,020.23 / $164,248.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,200.00 / $3,200.00 / $210,631.70