go back

Tennessee rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,405.97 / $12,502.50 / $22,000.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,132.84 / $16,338.10 / $26,949.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,736.89 / $11,524.26 / $16,334.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $10,895.83 / $15,563.44