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New York rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,611.00 / $11,455.00 / $20,126.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,765.89 / $18,943.71 / $24,564.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,305.83 / $17,596.86 / $25,831.20
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,055.34 / $17,400.05 / $36,488.46
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,305.83 / $19,158.75 / $25,973.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,870.00 / $14,839.53 / $22,747.10