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Montana rates for MS-DRG 839

Chemo w acute leukemia as sdx 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
$33,616.87 / $33,616.87 / $33,616.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,671.50 / $12,671.50 / $33,616.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,670.00 / $18,670.00 / $18,670.00