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Illinois rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,500.49 / $8,831.45 / $12,687.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,192.47 / $8,249.27 / $13,071.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,670.83 / $7,828.93 / $14,170.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.28 / $87.56 / $141.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,246.14 / $8,644.41 / $14,226.68