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Utah rates for MS-DRG 003

Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301,995.17 / $338,844.16 / $426,579.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316,227.77 / $467,735.14 / $616,595.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223,872.11 / $331,131.12 / $389,045.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $204,173.79 / $354,813.39