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Montana rates for MS-DRG 495

Local excision & removal int fix devices exc hip & femur w MCC

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,550.00 / $43,500.00 / $59,850.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84,413.55 / $84,413.55 / $84,413.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,020.90 / $32,020.90 / $84,413.55