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Montana rates for MS-DRG 623

Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders 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
$41,765.58 / $41,765.58 / $41,765.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,564.63 / $17,564.63 / $41,765.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,195.00 / $23,195.00 / $23,195.00