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Utah rates for MS-DRG 065

Intracranial hemorrhage or cerebral infarction w CC or tPA in 24 hrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,174.50 / $18,274.50 / $27,548.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,930.83 / $24,701.94 / $28,959.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,225.95 / $13,744.42 / $20,603.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $9,666.54