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Montana rates for MS-DRG 415

Cholecystectomy except by laparoscope w/o c.d.e. w CC

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $79,432.82 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,863.01 / $47,863.01 / $47,863.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,863.01 / $47,863.01 / $47,863.01