go back

Utah rates for MS-DRG 123

Neurological eye disorders

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,204.40 / $14,445.20 / $20,929.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,802.20 / $19,525.84 / $22,873.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,076.98 / $10,856.05 / $16,273.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $7,641.00