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Michigan rates for MS-DRG 158

Dental and oral diseases with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,458.80 / $7,960.75 / $12,922.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,578.86 / $11,578.86 / $11,578.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,474.89 / $17,734.91 / $22,737.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,409.91 / $12,392.97 / $15,674.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,695.35 / $8,561.21 / $13,689.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,660.65 / $11,389.79 / $17,304.40