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Montana rates for MS-DRG 125

Other disorders of the eye w/o MCC

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $79,432.82 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $17,782.79 / $17,782.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $17,782.79 / $17,782.79