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North Carolina rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $4,479.00 / $13,387.70
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,107.69 / $10,107.69 / $12,726.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.36 / $10,701.98 / $16,521.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,826.87 / $13,310.37 / $17,998.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,600.20 / $14,544.97 / $21,338.45