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New York rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $18,620.87 / $34,673.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $29,512.09 / $36,307.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $24,547.09 / $31,622.78
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $21,877.62 / $54,954.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $19,498.45 / $30,902.95