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New York rates for MS-DRG 137

Mouth Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $31,622.78 / $58,884.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,113.11 / $48,977.88 / $61,659.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $41,686.94 / $53,703.18
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $37,153.52 / $93,325.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $32,359.37 / $52,480.75