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Arkansas rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,077.10 / $6,543.71 / $13,298.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,994.84 / $5,821.81 / $6,790.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,793.92 / $6,009.28 / $6,870.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.62 / $7,173.56 / $9,329.53
Qualchoice
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,594.07 / $6,695.08 / $7,809.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.00 / $5,753.02 / $8,859.79