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Massachusetts rates for MS-DRG 137

Mouth procedures with CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,233.30 / $23,293.90 / $30,413.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $21,272.13 / $56,962.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,161.84 / $21,763.39 / $32,884.74
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,906.25 / $30,906.25 / $30,906.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,963.64 / $21,924.66 / $33,856.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $21,272.13 / $56,962.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $21,272.13 / $44,516.77