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Montana rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $87,096.36 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95,499.26 / $95,499.26 / $95,499.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95,499.26 / $95,499.26 / $95,499.26