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Louisiana rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,583.06 / $7,703.74 / $12,893.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,272.00 / $8,021.11 / $12,426.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,714.22 / $8,667.04 / $14,534.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,010.06 / $8,838.07 / $15,553.70