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Montana rates for MS-DRG 158

Dental & Oral Diseases w 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
$21,181.96 / $21,181.96 / $21,181.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,803.40 / $8,803.40 / $21,181.96