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Utah rates for MS-DRG 103

Headaches Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,733.30 / $15,127.10 / $19,875.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,359.35 / $20,447.62 / $24,212.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,549.61 / $11,491.30 / $17,225.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $10,813.00 / $75,139.50