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Oregon rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,372.50 / $21,662.30 / $26,156.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,916.00 / $19,560.70 / $33,576.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,447.60 / $18,478.50 / $22,007.34
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,180.82 / $15,303.40 / $20,763.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,857.01 / $19,896.20 / $30,640.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,097.86 / $18,150.59 / $23,011.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $17,835.72 / $25,692.75