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Missouri rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,407.64 / $8,263.94 / $13,720.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,587.51 / $6,872.37 / $11,641.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,971.00 / $8,814.45 / $12,662.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,428.13 / $8,849.17 / $20,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,428.13 / $8,660.70 / $11,874.46