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New Jersey rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,283.10 / $20,481.40 / $26,558.00
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,104.00 / $5,104.00 / $5,104.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,736.42 / $20,372.00 / $27,594.23
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,293.00 / $14,970.00 / $23,737.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $18,065.00 / $25,165.98