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Iowa rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,745.91 / $10,583.70 / $13,034.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,560.31 / $9,348.20 / $9,510.14
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,351.95 / $10,797.51 / $16,919.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,237.98 / $13,644.27 / $18,006.75