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Arizona rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $17,782.79 / $25,118.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $11,748.98 / $19,498.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $14,791.08 / $25,118.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $16,218.10 / $23,442.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $15,488.17 / $22,908.68