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Michigan rates for MS-DRG 157

Dental & Oral Diseases w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,300.79 / $15,022.00 / $24,385.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.26 / $528.26 / $528.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,393.01 / $47,473.16 / $60,863.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,095.56 / $23,385.63 / $29,578.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,747.20 / $16,155.10 / $25,832.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,568.69 / $21,492.62 / $32,653.54