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South Carolina rates for MS-DRG 158

Dental and oral diseases with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,272.00 / $15,857.80 / $15,857.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,814.45 / $14,814.45 / $14,814.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,813.71 / $10,497.79 / $20,601.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,108.40 / $17,902.13 / $27,439.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,965.00 / $23,691.19 / $30,589.30