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Arkansas rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,519.63 / $8,402.91 / $17,076.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,403.23 / $9,978.81 / $10,625.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,663.35 / $8,352.65 / $9,549.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,204.06 / $9,211.73 / $11,980.25
Qualchoice
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,813.71 / $11,475.63 / $12,218.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.00 / $7,387.58 / $11,377.05