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Utah rates for MS-DRG 124

Other Disorders Of The Eye With Mcc Or Thrombolytic Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $24,547.09 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $28,183.83 / $37,153.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $23,442.29 / $33,113.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $12,589.25 / $21,877.62