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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
$15,135.61 / $29,512.09 / $34,673.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $22,908.68 / $44,668.36
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $23,442.29 / $23,442.29