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Utah rates for MS-DRG 103

Headaches Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $15,488.17 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $18,620.87 / $23,988.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $14,125.38 / $23,988.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $12,022.64 / $13,803.84