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Iowa rates for MS-DRG 187

Dental Extractions & Restorations

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,508.21 / $11,506.20 / $14,170.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,306.44 / $10,163.00 / $10,339.06
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,079.94 / $11,738.64 / $18,394.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,130.34 / $14,833.53 / $19,576.27