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Montana rates for MS-DRG 837

Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With 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
$111,853.71 / $111,853.71 / $111,853.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,398.98 / $45,398.98 / $111,853.71