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Montana rates for MS-DRG 124

Other Disorders Of The Eye With Mcc Or Thrombolytic Agent

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
$30,804.41 / $30,804.41 / $30,804.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,073.01 / $12,073.01 / $30,804.41