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Michigan rates for MS-DRG 138

Mouth procedures without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,317.20 / $7,754.25 / $12,587.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,348.80 / $15,348.80 / $15,348.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,371.76 / $13,365.54 / $17,161.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,243.64 / $12,071.50 / $15,268.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,547.61 / $8,339.14 / $13,334.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,487.87 / $11,094.34 / $16,855.52