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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
$9,332.54 / $14,125.38 / $19,952.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $11,220.18 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $11,481.54 / $19,498.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $12,882.50 / $18,620.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $12,589.25 / $18,197.01