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Montana rates for MS-DRG 382

Complicated peptic ulcer w/o CC/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
$18,639.57 / $18,639.57 / $18,639.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,082.68 / $7,082.68 / $18,639.57