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Mississippi rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,034.05 / $8,370.16 / $11,227.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,258.90 / $19,258.90 / $19,258.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,651.00 / $8,536.37 / $10,150.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,114.64 / $8,643.10 / $13,603.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,713.00 / $10,678.32