go back

Massachusetts rates for MS-DRG 138

Mouth procedures without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,666.88 / $13,824.70 / $18,050.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $12,624.81 / $33,806.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,811.43 / $12,916.37 / $19,516.78
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,342.57 / $18,342.57 / $18,342.57
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,254.74 / $13,012.07 / $20,093.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $12,624.81 / $33,806.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $12,624.81 / $26,420.28