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North Dakota rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $10,964.78 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $19,952.62 / $31,622.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,606.93 / $15,135.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $12,022.64 / $14,791.08