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Alaska rates for MS-DRG 137

Mouth procedures with CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,545.20 / $39,305.50 / $79,858.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,080.40 / $60,080.40 / $63,834.30
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $23,219.26 / $34,308.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $21,746.68 / $63,834.30