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Utah rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,982.59 / $24,473.30 / $28,237.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,995.46 / $29,287.71 / $33,663.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,887.20 / $16,942.71 / $23,950.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $12,945.50