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Oklahoma rates for MS-DRG 158

Dental and oral diseases with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,775.41 / $10,579.20 / $14,978.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,268.37 / $10,065.82 / $16,112.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,004.68 / $9,516.51 / $16,931.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,458.02 / $9,216.90 / $20,021.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.00 / $8,783.20 / $17,792.05