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Montana rates for MS-DRG 494

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,550.00 / $40,750.00 / $47,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,715.33 / $46,715.33 / $46,715.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,308.14 / $17,308.14 / $46,715.33