go back

North Dakota rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,856.25 / $8,856.25 / $8,856.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,426.08 / $15,439.99 / $25,047.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,981.68 / $5,242.90 / $12,158.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,981.68 / $5,242.90 / $12,401.58