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Montana rates for MS-DRG 392

Esophagitis, gastroent & misc digest disorders w/o 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
$18,150.65 / $18,150.65 / $18,150.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,361.65 / $7,361.65 / $18,150.65