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Montana rates for MS-DRG 155

Stomach,Esoph & Duod Proc Age >17 W/O Cc

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
$21,337.95 / $21,337.95 / $21,337.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,741.29 / $8,741.29 / $21,337.95