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Connecticut rates for MS-DRG 158

Dental and oral diseases with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,981.50 / $21,350.30 / $31,843.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,062.04 / $18,967.64 / $26,336.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,760.73 / $20,969.07 / $29,228.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,845.00 / $21,128.29 / $27,181.18