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California rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,540.26 / $13,500.50 / $21,891.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,002.21 / $11,008.06 / $23,186.91
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $9,592.03 / $19,705.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,273.91 / $14,447.02 / $24,857.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,037.70 / $17,479.40 / $20,513.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,104.99 / $12,040.96 / $25,073.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $10,991.00 / $22,460.87