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Dental and Oral Diseases with Complications

South Dakota rates for MS-DRG 158

Dental and Oral Diseases with CC

Rates data updated July 2026.

Facilitymedian $10,233 · 10th–90th $6,761$14,7910%50%10th90th$10,233$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$12,882.50
Typical High
$12,882.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,232.93
Typical High
$10,232.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$8,511.38
Typical High
$16,218.10
United
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$9,549.93
Typical High
$15,488.17