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Massachusetts rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,844.43 / $14,192.90 / $18,530.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $12,793.61 / $34,707.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,019.45 / $13,260.34 / $20,036.53
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,831.04 / $18,831.04 / $18,831.04
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,554.46 / $13,358.59 / $20,628.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $12,793.61 / $34,707.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $10,079.67 / $27,123.87