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Indiana rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $16,982.44 / $19,498.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $16,218.10 / $21,379.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $12,302.69 / $30,902.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $12,302.69 / $18,197.01