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California rates for MS-DRG 158

Dental and oral diseases with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,966.70 / $17,336.20 / $28,111.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,837.30 / $15,697.67 / $36,135.97
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $12,563.70 / $25,415.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,943.48 / $18,196.00 / $31,919.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,252.66 / $29,252.66 / $29,252.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,329.91 / $15,373.03 / $32,197.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $14,088.25 / $28,842.48