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Montana rates for MS-DRG 239

Amputation for circulatory system disorders except upper limb and toe with 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
$114,587.02 / $114,587.02 / $114,587.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,666.26 / $45,666.26 / $114,587.02