go back

Montana rates for MS-DRG 004

Trach w MV >96 hrs or PDX exc face, mouth & neck w/o maj O.R.

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
$322,488.28 / $322,488.28 / $322,488.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127,497.14 / $127,497.14 / $322,488.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179,099.00 / $179,099.00 / $179,099.00