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Tennessee rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,603.20 / $12,835.50 / $22,586.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,287.30 / $10,855.73 / $17,691.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,916.30 / $11,831.16 / $16,666.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $11,185.99 / $15,977.91