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West Virginia rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,528.34 / $12,476.09 / $17,268.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,643.89 / $17,455.99 / $19,457.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,062.65 / $15,062.65 / $15,062.65