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South Carolina rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $15,488.17 / $35,481.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $15,488.17 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $18,197.01 / $21,877.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $23,988.33 / $36,307.81