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Montana rates for MS-DRG 113

Amput For Circ Disor Exc Uppr Limb & Toe

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
$54,738.31 / $54,738.31 / $54,738.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,647.93 / $20,647.93 / $54,738.31