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Montana rates for MS-DRG 138

Mouth Procedures Without Cc/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
$20,632.50 / $20,632.50 / $20,632.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,660.45 / $7,660.45 / $20,632.50