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Utah rates for MS-DRG 012

Acute Major Eye Infections with CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,150.50 / $76,259.80 / $99,736.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62,306.62 / $101,673.27 / $116,865.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,266.81 / $55,465.61 / $83,145.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $40,338.69