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Montana rates for MS-DRG 576

Skin Graft Except For Skin Ulcer Or Cellulitis With 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
$114,109.74 / $114,109.74 / $114,109.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,891.77 / $48,891.77 / $114,109.74