go back

Missouri rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $9,549.93 / $12,589.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $10,000.00 / $17,378.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151,356.12 / $151,356.12 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $11,481.54 / $16,218.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $10,471.29 / $17,782.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $10,000.00 / $15,135.61