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Utah rates for MS-DRG 094

OR Procedures with Diagnoses of Other Contact with Health Services with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,377.20 / $63,659.50 / $81,310.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,011.84 / $86,049.68 / $103,907.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,691.33 / $49,315.83 / $73,926.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $33,673.62