go back

California rates for MS-DRG 138

Mouth procedures without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,682.30 / $16,886.50 / $27,382.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,219.00 / $12,514.07 / $28,596.96
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $11,683.14 / $24,187.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,910.58 / $18,751.82 / $35,420.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,299.85 / $25,299.85 / $25,299.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,871.85 / $14,977.67 / $32,645.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $13,722.81 / $28,094.31