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Dental and Oral Diseases with Complications

New Hampshire rates for MS-DRG 158

Dental and Oral Diseases with CC

Rates data updated July 2026.

Facilitymedian $14,791 · 10th–90th $8,913$22,3870%10%10th90th$14,791$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$13,489.63
Typical High
$21,877.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$18,620.87
Typical High
$26,915.35
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$16,982.44
Typical High
$17,782.79
United
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$19,054.61