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Maine rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $17,782.79 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $13,803.84 / $26,302.68
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $13,489.63 / $13,489.63