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Kansas rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,785.55 / $10,942.20 / $17,618.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,557.58 / $8,557.58 / $14,423.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,474.01 / $5,930.56 / $15,925.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,920.72 / $11,440.74 / $16,207.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,923.58 / $9,595.66 / $20,152.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,500.52 / $9,595.66 / $20,412.27