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Utah rates for MS-DRG 081

Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,565.30 / $16,199.80 / $19,939.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,235.72 / $21,897.51 / $25,766.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,049.53 / $12,229.28 / $18,332.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $8,569.10