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Montana rates for MS-DRG 023

Coronary Bypass with PTCA with 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
$133,412.84 / $133,412.84 / $133,412.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,679.90 / $51,679.90 / $133,412.84