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Montana rates for MS-DRG 792

Prematurity Without 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
$57,022.27 / $57,022.27 / $57,022.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,386.70 / $22,386.70 / $57,022.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $1,850.00 / $1,850.00