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Montana rates for MS-DRG 380

Complicated Peptic Ulcer 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
$45,683.94 / $45,683.94 / $45,683.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,657.33 / $17,657.33 / $45,683.94