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Utah rates for MS-DRG 090

Concussion Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,549.50 / $14,890.20 / $22,739.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,165.75 / $20,127.32 / $24,414.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,621.01 / $11,587.27 / $17,369.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $7,876.38