go back

Idaho rates for MS-DRG 137

Mouth Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $13,182.57 / $13,182.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $19,498.45 / $31,622.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,810.72 / $52,480.75 / $54,954.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $13,182.57 / $31,622.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $19,952.62 / $31,622.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $19,498.45 / $20,892.96