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Montana rates for MS-DRG 574

Skin graft for skin ulcer or cellulitis with CC

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
$80,821.13 / $80,821.13 / $80,821.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,520.51 / $31,520.51 / $80,821.13