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Maine rates for MS-DRG 158

Dental and oral diseases with CC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,759.46 / $17,102.13 / $21,925.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,099.56 / $14,050.95 / $27,508.71