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Wisconsin rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $15,848.93 / $16,595.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $16,982.44 / $24,547.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $13,803.84 / $25,118.86
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $13,182.57 / $16,982.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $15,488.17 / $25,703.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $10,000.00 / $13,182.57
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $18,197.01 / $19,054.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $16,982.44 / $22,908.68