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Georgia rates for MS-DRG 158

Dental and oral diseases with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,882.10 / $14,414.90 / $25,220.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,032.65 / $11,813.28 / $19,345.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,843.91 / $12,594.48 / $25,569.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,326.23 / $14,640.50 / $22,517.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,496.00 / $14,855.21 / $22,689.50