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California rates for MS-DRG 157

Dental & Oral Diseases w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,694.30 / $32,713.60 / $53,047.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,348.60 / $27,328.23 / $62,909.47
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $22,521.39 / $46,234.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,463.31 / $33,898.22 / $60,232.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,884.38 / $43,393.75 / $50,926.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,330.82 / $29,015.64 / $60,757.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $26,584.65 / $54,425.99