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Arizona rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,860.81 / $11,479.10 / $15,087.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,051.65 / $11,034.18 / $18,662.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,029.00 / $11,530.13 / $19,298.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,887.83 / $12,867.78 / $18,788.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,887.83 / $11,962.31 / $18,788.00