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Montana rates for MS-DRG 789

Neonates, died or transferred to another acute care facility

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,970.00 / $40,750.00 / $47,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,958.82 / $41,958.82 / $41,958.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,562.96 / $16,562.96 / $41,958.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $1,850.00 / $1,850.00