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Idaho rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,234.80 / $6,234.80 / $6,234.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,764.62 / $24,808.13 / $25,916.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,693.00 / $14,097.94 / $16,417.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $8,522.37 / $14,115.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,240.87 / $9,210.50 / $13,331.84