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Illinois rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,130.89 / $11,046.50 / $16,267.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,542.97 / $10,271.44 / $15,302.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,093.14 / $9,792.51 / $17,724.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.40 / $104.34 / $175.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,812.74 / $10,812.53 / $17,794.90