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Ohio rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,209.29 / $10,030.90 / $13,880.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,541.95 / $8,606.45 / $13,038.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,991.44 / $8,472.00 / $13,990.04
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,564.00 / $8,392.18 / $12,753.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,668.00 / $10,590.66 / $15,428.30