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Iowa rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,519.04 / $10,309.20 / $12,696.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,338.26 / $9,105.70 / $9,263.45
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,135.32 / $10,517.42 / $16,480.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,972.41 / $13,290.34 / $17,539.66