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Idaho rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,006.24 / $8,006.24 / $8,006.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,096.05 / $31,856.65 / $33,280.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,853.79 / $18,656.65 / $20,064.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $11,845.75 / $19,620.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,298.16 / $11,827.40 / $17,119.71