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Montana rates for MS-DRG 159

Dental And Oral Diseases 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
$16,495.30 / $16,495.30 / $16,495.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,275.40 / $6,275.40 / $16,495.30