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Maine rates for MS-DRG 137

Mouth procedures with CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,199.87 / $25,429.56 / $32,602.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,217.04 / $23,060.98 / $45,148.40