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Montana rates for MS-DRG 004

Trach w MV >96 hrs or PDX exc face, mouth & neck w/o maj O.R.

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $87,096.36 / $251,188.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323,593.66 / $323,593.66 / $323,593.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323,593.66 / $323,593.66 / $323,593.66