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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
$20,949.59 / $26,701.19 / $30,491.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,067.42 / $34,651.71 / $39,829.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,064.32 / $19,419.82 / $28,337.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $14,286.94