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Maine rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,357.91 / $12,450.20 / $15,375.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,643.70 / $10,942.07 / $21,422.21