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Alabama rates for MS-DRG 158

Dental and oral diseases with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,931.90 / $7,191.97 / $8,291.92
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,518.02 / $7,518.02 / $8,775.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.00 / $2,554.00 / $3,843.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,276.84 / $8,399.27 / $14,415.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $5,044.00 / $12,485.19