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Utah rates for MS-DRG 069

Transient ischemia w/o thrombolytic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,207.20 / $14,448.80 / $19,158.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,805.15 / $19,530.74 / $22,785.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,045.81 / $10,814.15 / $16,210.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $7,642.92