go back

Missouri rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,270.08 / $10,611.90 / $17,618.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,976.00 / $8,284.66 / $8,964.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,541.87 / $9,800.11 / $16,601.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,147.12 / $11,318.82 / $16,275.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,686.25 / $11,363.40 / $29,252.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,686.25 / $10,849.37 / $15,248.25