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Montana rates for MS-DRG 577

Skin graft exc for skin ulcer or cellulitis w 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
$61,713.60 / $61,713.60 / $61,713.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,301.82 / $24,301.82 / $61,713.60