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New Jersey rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,344.10 / $15,949.80 / $20,681.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,139.65 / $15,831.00 / $21,488.81
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,663.00 / $11,270.00 / $18,088.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $18,065.00 / $19,597.82