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Alaska rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $24,547.09 / $51,286.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,307.81 / $36,307.81 / $38,904.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $17,378.01 / $17,378.01
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $14,125.38 / $22,908.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,307.81 / $36,307.81 / $38,904.51