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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
$64,565.42 / $87,096.36 / $407,380.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489,778.82 / $489,778.82 / $489,778.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489,778.82 / $489,778.82 / $489,778.82