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New York rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,896.00 / $15,614.00 / $25,844.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,204.37 / $27,014.03 / $35,028.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,802.18 / $22,596.50 / $33,170.40
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,628.15 / $22,343.78 / $46,855.61
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,802.18 / $24,602.17 / $33,353.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,870.00 / $16,763.00 / $28,528.60