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Utah rates for MS-DRG 137

Mouth Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $27,542.29 / $30,199.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $30,199.52 / $39,810.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $23,988.33 / $32,359.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $14,125.38 / $24,547.09