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Montana rates for MS-DRG 740

Uterine, adnexa proc for non-ovarian/adnexal malig 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
$42,131.11 / $42,131.11 / $42,131.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,702.48 / $16,702.48 / $42,131.11