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Oregon rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,077.50 / $21,100.40 / $25,478.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,397.00 / $19,053.30 / $29,871.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,889.60 / $17,747.50 / $21,228.42
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,915.02 / $14,398.95 / $18,843.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,833.00 / $17,995.82 / $28,581.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,327.99 / $15,906.37 / $21,901.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $18,616.40 / $26,785.40