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Montana rates for MS-DRG 604

Trauma to the skin, subcutaneous tissue and breast 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
$34,273.43 / $34,273.43 / $34,273.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,710.06 / $13,710.06 / $34,273.43