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Montana rates for MS-DRG 264

Skn Grft/Debrid,Skn Ulcr,Cellulit W/O 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
$77,775.85 / $77,775.85 / $77,775.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,792.30 / $31,792.30 / $77,775.85