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Utah rates for MS-DRG 002

Intracranial Vascular Procedures with Principal Diagnosis of Hemorrhage with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106,972.00 / $170,408.00 / $233,662.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99,608.77 / $175,195.04 / $283,790.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,324.00 / $2,753.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77,386.45 / $125,422.57 / $188,394.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $65,144.61 / $315,048.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109,397.20 / $216,743.34 / $423,763.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136,647.05 / $166,117.10 / $190,474.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,115.45 / $147,313.40 / $251,985.24