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Arizona rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,094.20 / $14,740.60 / $19,374.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,560.17 / $12,422.71 / $13,887.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,762.72 / $12,970.72 / $21,938.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,254.36 / $14,806.09 / $24,782.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,697.17 / $16,523.79 / $24,126.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,697.17 / $15,361.06 / $24,126.08