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Iowa rates for MS-DRG 139

Salivary Gland Procedures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,878.80 / $14,374.90 / $17,703.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,626.70 / $12,696.82 / $12,916.77
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,343.73 / $14,665.29 / $22,980.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,905.33 / $18,531.79 / $24,456.97