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Montana rates for MS-DRG 256

Upper Limb And Toe Amputation For Circulatory System Disorders 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
$39,530.51 / $39,530.51 / $39,530.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,581.11 / $15,581.11 / $39,530.51