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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
$24,550.00 / $41,000.00 / $47,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,570.39 / $31,570.39 / $31,570.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,288.36 / $10,288.36 / $31,570.39