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Montana rates for MS-DRG 794

Neonate With Other Significant 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
$34,361.90 / $34,361.90 / $34,361.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,624.56 / $13,624.56 / $34,361.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $1,850.00 / $1,850.00