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Montana rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

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
$31,980.16 / $31,980.16 / $31,980.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,020.67 / $13,020.67 / $31,980.16