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Montana rates for MS-DRG 522

Hip replacement with principal diagnosis of hip fracture without 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
$49,304.29 / $49,304.29 / $49,304.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,312.38 / $19,312.38 / $49,304.29