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Ohio rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,973.49 / $12,970.10 / $17,823.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,659.30 / $12,272.94 / $18,593.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,564.00 / $10,776.58 / $17,964.91
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,564.00 / $10,642.84 / $16,377.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,018.33 / $13,868.08 / $19,811.80