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Montana rates for MS-DRG 012

Acute Major Eye Infections with CC/MCC

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,550.00 / $41,000.00 / $47,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98,156.91 / $98,156.91 / $98,156.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,268.62 / $37,268.62 / $98,156.91