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Montana rates for MS-DRG 240

Amputation for circulatory system disorders except upper limb and toe with 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
$66,365.34 / $66,365.34 / $66,365.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,546.35 / $26,546.35 / $66,365.34