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Louisiana rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,731.74 / $7,908.89 / $13,236.70
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,093.30 / $13,093.30 / $13,093.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,423.00 / $9,273.33 / $14,282.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,866.39 / $8,897.84 / $14,921.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $7,181.05 / $15,967.90