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Virginia rates for MS-DRG 137

Mouth procedures with CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,711.90 / $25,869.70 / $29,275.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,588.79 / $23,577.59 / $32,427.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,432.22 / $24,028.57 / $33,482.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,820.00 / $24,606.00 / $31,005.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $24,137.58 / $39,696.72