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Massachusetts rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,330.05 / $11,052.60 / $14,430.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $9,962.93 / $27,027.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,245.09 / $10,326.39 / $15,603.30
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,664.53 / $14,664.53 / $14,664.53
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,997.95 / $10,402.91 / $16,064.53
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $9,962.93 / $27,027.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $9,750.00 / $21,122.51