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North Carolina rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $4,479.00 / $10,425.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,613.54 / $8,239.83 / $11,620.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.36 / $8,418.40 / $12,996.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,873.87 / $10,450.94 / $14,170.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,476.09 / $11,114.26 / $16,617.16