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Minnesota rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,270.86 / $16,642.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,244.67 / $16,840.63 / $22,596.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,032.36 / $13,777.10 / $19,313.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,734.08 / $15,301.02 / $19,289.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,734.08 / $15,428.39 / $20,231.22