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Montana rates for MS-DRG 575

Skin Graft For Skin Ulcer Or Cellulitis Without Cc/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
$41,837.75 / $41,837.75 / $41,837.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,307.12 / $18,307.12 / $41,837.75