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Montana rates for MS-DRG 735

Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy 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
$31,325.93 / $31,325.93 / $31,325.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,263.03 / $11,263.03 / $31,325.93