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Wyoming rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.21 / $5,114.22 / $19,331.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89,152.50 / $154,744.97 / $167,321.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,200.00 / $3,200.00 / $76,849.00