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Idaho rates for MS-DRG 139

Salivary gland procedures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,874.20 / $10,874.20 / $10,874.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,727.51 / $43,268.04 / $45,201.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,971.06 / $25,371.85 / $25,968.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $14,991.15 / $24,830.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,628.85 / $16,064.10 / $23,252.17