go back

Indiana rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,217.79 / $16,949.59 / $22,745.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,691.30 / $14,979.19 / $27,851.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,385.44 / $14,686.52 / $23,499.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,390.18 / $13,647.00 / $31,298.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,961.40 / $13,443.20 / $19,043.93