go back

Utah rates for MS-DRG 121

Acute Major Eye Infections With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,321.10 / $21,042.00 / $24,075.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,191.96 / $28,442.80 / $33,125.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,697.14 / $15,867.64 / $23,567.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $11,130.45