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Illinois rates for MS-DRG 137

Mouth Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $19,054.61 / $28,840.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $17,378.01 / $25,118.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $16,595.87 / $30,199.52
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $186.21 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $18,620.87 / $27,542.29