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Utah rates for MS-DRG 042

Periph/cranial nerve & other nerv syst proc w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,239.60 / $31,250.90 / $46,638.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,533.00 / $42,242.44 / $50,052.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,674.43 / $23,953.62 / $35,610.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $16,530.63 / $57,287.00