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California rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $20,417.38 / $38,904.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $21,877.62 / $37,153.52
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $13,803.84 / $31,622.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $18,197.01 / $31,622.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,286.14 / $51,286.14 / $51,286.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $19,952.62 / $35,481.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $17,378.01 / $35,481.34