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Montana rates for MS-DRG 847

Chemotherapy w/o acute leukemia as secondary diagnosis w CC

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,199.52 / $30,199.52 / $30,199.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,199.52 / $30,199.52 / $30,199.52