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Washington rates for MS-DRG 137

Mouth Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,547.09 / $37,153.52 / $61,659.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $29,512.09 / $48,977.88
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $25,118.86 / $33,113.11
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $30,199.52 / $43,651.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $29,512.09 / $40,738.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $33,113.11 / $46,773.51