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Utah rates for MS-DRG 089

Concussion With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,413.40 / $19,871.70 / $26,438.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,235.78 / $26,562.35 / $30,531.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,781.04 / $15,121.72 / $21,721.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $10,511.40