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Utah rates for MS-DRG 087

Septicemia or Severe Sepsis with Mechanical Ventilation >96 Hours

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,833.20 / $16,545.30 / $22,496.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,517.99 / $21,901.98 / $25,174.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,889.50 / $11,948.14 / $17,910.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $8,751.85 / $25,807.00