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Virginia rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,182.50 / $15,762.30 / $17,837.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,483.92 / $15,856.63 / $21,415.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,402.78 / $13,996.00 / $19,775.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,515.00 / $15,496.00 / $19,893.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $14,706.92 / $24,187.03