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Montana rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Facilitymedian $81,283 · 10th–90th $48,978–$95,4990%50%10th90th$81,283$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $79,432.82 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85,113.80 / $85,113.80 / $85,113.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85,113.80 / $85,113.80 / $85,113.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $47,863.01 / $47,863.01