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Montana rates for MS-DRG 003

Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,550.00 / $41,000.00 / $47,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494,165.11 / $494,165.11 / $494,165.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193,205.00 / $193,205.00 / $494,165.11