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Alaska rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,748.39 / $18,649.80 / $37,891.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,507.21 / $28,507.21 / $30,288.38
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $11,017.18 / $16,181.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $10,256.78 / $30,288.38