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Pennsylvania rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,685.41 / $11,583.30 / $15,818.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,859.00 / $11,406.08 / $17,806.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,136.32 / $11,052.60 / $15,937.71
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,674.66 / $11,674.66 / $14,176.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,973.79 / $11,726.20 / $17,329.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,389.25 / $11,336.00 / $15,653.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,834.50 / $10,365.36 / $14,935.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $5,433.75 / $7,331.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,284.30 / $8,930.64 / $16,199.14