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North Dakota rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,372.50 / $11,372.50 / $11,372.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,240.71 / $19,826.82 / $32,164.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,574.90 / $6,732.52 / $15,613.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,574.90 / $6,732.52 / $15,925.14