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Pennsylvania rates for MS-DRG 137

Mouth Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $24,547.09 / $34,673.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $26,302.68 / $39,810.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $22,908.68 / $36,307.81
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $26,302.68 / $31,622.78
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $25,118.86 / $30,902.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $21,379.62 / $31,622.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $22,908.68 / $33,884.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $11,481.54 / $19,498.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $17,782.79 / $31,622.78