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Washington, DC rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,923.09 / $22,129.10 / $30,354.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,382.90 / $19,786.33 / $37,207.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,455.03 / $16,619.32 / $29,153.63