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North Carolina rates for MS-DRG 157

Dental & Oral Diseases w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $5,100.00 / $25,262.70
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,789.50 / $26,789.50 / $26,789.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.36 / $19,437.61 / $30,395.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,407.00 / $25,116.78 / $33,561.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,115.66 / $27,446.48 / $40,265.83