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Missouri rates for MS-DRG 137

Mouth Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $16,218.10 / $20,892.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $16,982.44 / $28,840.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151,356.12 / $151,356.12 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $19,498.45 / $28,840.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $17,782.79 / $30,199.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $16,595.87 / $25,703.96