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Utah rates for MS-DRG 101

Seizures w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,663.50 / $16,326.40 / $23,667.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,339.17 / $22,068.66 / $26,248.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,268.62 / $12,457.70 / $18,674.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $8,636.08