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Arizona rates for MS-DRG 137

Mouth Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $29,512.09 / $42,657.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $17,378.01 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $24,547.09 / $41,686.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $26,915.35 / $39,810.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $26,302.68 / $38,018.94