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Montana rates for MS-DRG 489

Knee procedures without principal diagnosis of infection without CC/MCC

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,572.50 / $40,000.00 / $47,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,001.34 / $26,001.34 / $26,001.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,486.22 / $11,486.22 / $26,001.34