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Montana rates for MS-DRG 804

Other O.R. proc of the blood & blood forming organs w/o CC/MCC

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $79,432.82 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,622.78 / $31,622.78 / $31,622.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,622.78 / $31,622.78 / $31,622.78