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Utah rates for MS-DRG 063

Ischemic stroke/precereb occl/trans isch w thrombolytic w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,695.30 / $25,392.20 / $43,951.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,746.21 / $34,323.05 / $40,005.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,126.67 / $20,473.95 / $28,462.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $13,431.56