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Idaho rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,798.56 / $7,798.56 / $7,798.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,471.01 / $31,030.29 / $32,417.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,404.87 / $17,750.96 / $19,637.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $10,926.87 / $18,098.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,056.95 / $11,520.60 / $16,675.63