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Montana rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $79,432.82 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,481.34 / $35,481.34 / $35,481.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,481.34 / $35,481.34 / $35,481.34