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Idaho rates for MS-DRG 157

Dental & Oral Diseases w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,107.80 / $15,107.80 / $15,107.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,469.45 / $60,113.75 / $62,800.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,681.92 / $32,666.75 / $35,249.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $21,545.75 / $35,686.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,545.70 / $22,318.40 / $32,305.03