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Indiana rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,957.02 / $13,199.40 / $17,712.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,983.23 / $10,479.71 / $16,478.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,533.79 / $10,627.50 / $24,373.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,711.31 / $10,468.79 / $14,830.32