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Montana rates for MS-DRG 905

Skin Grafts For Injuries Without 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
$34,536.51 / $34,536.51 / $34,536.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,171.61 / $15,171.61 / $34,536.51