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South Carolina rates for MS-DRG 157

Dental and oral diseases with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,931.40 / $29,923.80 / $29,923.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,505.50 / $23,505.50 / $23,505.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,841.26 / $17,604.87 / $40,167.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,675.34 / $32,945.39 / $51,778.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,965.00 / $44,705.47 / $57,722.25