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Alaska rates for MS-DRG 157

Dental & Oral Diseases w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,621.80 / $45,191.30 / $91,816.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,077.16 / $69,077.16 / $73,393.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $26,696.24 / $40,168.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $25,461.57 / $73,393.20