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Utah rates for MS-DRG 125

Other Disorders Of The Eye Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,772.20 / $13,888.10 / $17,904.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,347.02 / $18,772.79 / $23,514.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,303.24 / $11,164.20 / $16,729.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $7,346.31