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Tennessee rates for MS-DRG 157

Dental & Oral Diseases w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,347.30 / $24,220.60 / $42,621.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,354.71 / $19,712.86 / $32,594.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,051.11 / $21,955.35 / $30,457.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,393.75 / $43,393.75 / $50,926.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $21,108.06 / $30,150.44