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California rates for MS-DRG 137

Mouth Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $34,673.69 / $64,565.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $37,153.52 / $63,095.73
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $22,908.68 / $52,480.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $29,512.09 / $53,703.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,703.18 / $53,703.18 / $53,703.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $30,902.95 / $60,255.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $29,512.09 / $58,884.37