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Alaska rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,193.40 / $23,327.40 / $47,395.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,657.14 / $35,657.14 / $37,885.05
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $13,780.41 / $19,956.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $12,649.93 / $37,885.05