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Virginia rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $15,488.17 / $17,782.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $16,595.87 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $15,135.61 / $28,840.32
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $16,218.10 / $26,915.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $14,454.40 / $23,988.33