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Utah rates for MS-DRG 058

Multiple sclerosis & cerebellar ataxia w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,984.30 / $30,921.70 / $52,397.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,264.03 / $41,797.44 / $52,567.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,562.37 / $24,949.18 / $37,399.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $16,356.50