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Illinois rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,347.42 / $11,340.70 / $17,634.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,795.88 / $10,549.67 / $15,836.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,282.04 / $10,053.29 / $18,196.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.40 / $107.11 / $180.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,020.80 / $11,100.47 / $18,268.78