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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
$5,970.00 / $40,750.00 / $47,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94,501.64 / $94,501.64 / $94,501.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,878.94 / $36,878.94 / $94,501.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,200.00 / $3,200.00 / $3,200.00