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Utah rates for MS-DRG 004

Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181,954.45 / $200,721.00 / $282,846.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204,704.44 / $338,668.12 / $402,394.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139,675.04 / $190,981.08 / $286,287.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $179,099.00 / $218,422.73