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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
$20,892.96 / $24,547.09 / $48,977.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $21,379.62 / $30,199.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $18,197.01 / $27,542.29
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $14,454.40 / $19,054.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $19,054.61 / $30,199.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $16,218.10 / $21,379.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $19,498.45 / $23,988.33